A patient who underwent surgery for esophageal cancer is admitted to the critical care unit following postanesthetic recovery. Which of the following should be included in the patient's immediate postoperative plan of care?
A) Teaching the patient to self-suction
B) Performing chest physiotherapy to promote oxygenation
C) Positioning the patient to prevent gastric reflux
D) Providing a regular diet as tolerated
Ans: C
Feedback:
After recovering from the effects of anesthesia, the patient is placed in a low Fowler's position, and later in a Fowler's position, to help prevent reflux of gastric secretions. The patient is observed carefully for regurgitation and dyspnea because a common postoperative complication is aspiration pneumonia. In this period of recovery, self-suctioning is also not likely realistic or safe. Chest physiotherapy is contraindicated because of the risk of aspiration. Nutrition is prioritized, but a regular diet is contraindicated in the immediate recovery from esophageal surgery.
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