The postoperative client has a nasogastric tube on low suction. Which does the nurse include in the client's plan of care?

Question

1. Monitor for signs of metabolic alkalosis.
2. Replace fluids with 5% dextrose in water.
3. Return 50% gastric secretions to client daily.
4. Prevent hypocalcemia with calcium supplements.

Answer 1

1
1. The nurse includes monitoring for metabolic alkalosis in the client with a nasogas-tric tube because the tube removes hydrochloric acid (H+) from the stomach to de-crease the client's pH.
2. The nurse replaces gastric secretions with isotonic fluids to maintain fluid and electrolyte balance.
3. The nurse replaces the client's gastric secretions using a ratio greater than two parts gastric secretions to one part fluid to prevent hypovolemia.
4. The client with a nasogastric tube in at risk for electrolyte imbalances, including sodium, potassium, and chloride.