A nurse is providing care for a patient who is postoperative day 2 following gastric surgery.
The nurse's assessment should be planned in light of the possibility of what potential complications? Select all that apply.

Chronic gastritis

Atelectasis

Pneumonia

Malignant hyperthermia

Metabolic imbalances

Answer and Explanation

Correct Answer : B,C,E

Choice A reason:

Chronic gastritis is not a common immediate postoperative complication of gastric surgery. It is more related to long-term gastric health.

Choice B reason:

Correct. Atelectasis, or partial lung collapse, is a potential complication postoperatively, especially in abdominal surgery. The nurse should assess for signs such as decreased breath sounds and reduced oxygen saturation.

Choice C reason:

Correct. Pneumonia is a potential complication due to reduced lung function and shallow breathing after surgery. The nurse should monitor for signs like fever, increased respiratory rate, and abnormal breath sounds.

Choice D reason:

Malignant hyperthermia is a rare complication related to certain types of anesthesia agents. It is not a common complication after gastric surgery

Choice E reason:

Correct. Metabolic imbalances, such as electrolyte disturbances or changes in blood glucose levels, can occur after gastric surgery. The nurse should monitor for signs like weakness, confusion, and abnormal laboratory values.

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Correct Answer is B

Explanation

Choice A reason:

Both ulcerative colitis and Crohn's disease can require surgery in some cases, but it is not a common link that defines both conditions.

Choice B reason:

This is the correct answer. Both ulcerative colitis and Crohn's disease are types of inflammatory bowel disease (IBD). They share the common feature of chronic inflammation of the digestive tract.

Choice C reason:

Fistula formation is more commonly associated with Crohn's disease than ulcerative colitis. It is not a defining characteristic of both conditions.

Choice D reason:

Ulcerative colitis primarily affects the colon and rectum, but Crohn's disease can affect any part of the digestive tract from the mouth to the anus. Therefore, both conditions do not necessarily begin in the rectum.

A. Keep the patient in a low Fowler's position when at rest. B. Connect the tube to continuous wall suction when not in use. C. Confirm placement of the tube prior to each medication administration. D. Have the patient sip cool water to stimulate saliva production.

Correct Answer is C

Explanation

Choice A reason:

Keeping the patient in a low Fowler's position may be helpful for some patients with dysphagia, but it is not a specific intervention related to NG tube care.

Choice B reason:

Connecting the tube to continuous wall suction when not in use is not a standard practice for NG tube care. Continuous suction can cause mucosal damage and discomfort for the patient.

Choice C reason:

Confirming the placement of the NG tube prior to each medication administration is a crucial safety measure. Incorrect placement can lead to serious complications.

Choice D reason:

Sipping cool water to stimulate saliva production may be beneficial for some patients with dysphagia, but it is not a specific intervention related to NG tube care. The focus should be on confirming the placement of the tube.

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A nurse is providing care for a patient who is postoperative day 2 following gastric surgery. The nurse's assessment should be planned in light of the possibility of what potential complications? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include?

Correct Answer is B

Explanation

A patient's new onset of dysphagia has required insertion of an NG tube for feeding; the nurse has modified the patient's care plan accordingly. What intervention should the nurse include in the patient's plan of care?

Correct Answer is C

Explanation

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A nurse is providing care for a patient who is postoperative day 2 following gastric surgery.
The nurse's assessment should be planned in light of the possibility of what potential complications? Select all that apply.