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21 January, 01:13

Immediately after a subtotal gastrectomy, a client is admitted to the postanesthesia care unit (pacu). the nurse irrigates the nasogastric tube and observes small blood clots in the return. what is the next best nursing intervention?

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  1. 21 January, 01:24
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    Clamp the tube

    - Clamping the tube will increase the pressure on the gastric sutures from a concentration of gas and fluid.

    2. Consider this an expected event.

    - As a result of the trauma of surgery, some bleeding can be predictable for 4 to 5 hours.

    3. Instill the tube with iced normal saline.

    - Iced saline rarely is used because it grounds for vasoconstriction, local ischemia, and a decrease in body temperature.

    4. Notify the client's surgeon of this finding

    - This is not essential; this is an anticipated occurrence.
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