The nurse is caring for a patient who has a nursing diagnosis of acute postoperative pain after a gastrectomy. The patient has a nasogastric (NG) tube. What interventions should the nurse implement? (Select all that apply.)
a. Encourage total bedrest.
b. Monitor NG tube functioning.
c. Reposition NG tube once a shift.
d. Provide pain medication as ordered.
e. Start a regular diet once bowel sounds are detected.
f. Evaluate pain regularly and report changes to the RN.
ANS: A, B, D
Pain should be monitored and evaluated hourly while awake. Maintaining NG tube function prevents distention and pain due to pressure on the suture line. Giving pain medication as needed is essential. C. The nurse does not reposition the NG tube after gastric surgery, and it would not be repositioned once a shift. A. The patient should be up and ambulating as soon as ordered to prevent complications. E. After removal of the NG tube, clear fluids may be ordered with progression to full liquids, soft food, and then a regular diet as the patient tolerates.
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