A client is 1 day postoperative after having Zenker's diverticula ...

[leilurhhh]

A client is 1 day postoperative after having Zenker's diverticula removed. The client has a nasogastric (NG) tube to suction, and for the last 4 hours there has been no drainage. There are no specific care orders for the NG tube in place. What action by t
 
  a. Document the findings as normal.
  b. Irrigate the NG tube with sterile saline.
  c. Notify the surgeon about this finding.
  d. Remove and reinsert the NG tube.

Question 2

A client with an esophageal tumor is having extreme difficulty swallowing. For what procedure does the nurse prepare this client?
 
  a. Enteral tube feeding
  b. Esophageal dilation
  c. Nissen fundoplication
  d. Photodynamic therapy

[swimkari]

Answer to Question 1

ANS: C
NG tubes placed during surgery should not be irrigated or moved unless prescribed by the surgeon. The nurse should notify the surgeon about this finding. Documentation is important, but this finding is not normal.

Answer to Question 2

ANS: B
Esophageal dilation can provide immediate relief of esophageal strictures that impair swallowing. Enteral tube feeding is a method of providing nutrition when dysphagia is severe, but esophageal dilation would be attempted before this measure is taken. Nissen fundoplication is performed for severe gastroesophageal reflux disease. Photodynamic therapy is performed for esophageal cancer.

[leilurhhh]

Correct answers!

[swimkari]

Great! Please up vote