Question

While caring for a client who had an exploratory laparotomy yesterday, the nurse notes that coffee ground material is draining from the nasogastric tube. Which intervention should the nurse implement?

Answer 1

If coffee ground material is draining from the nasogastric tube after an exploratory laparotomy, it may indicate gastrointestinal bleeding. The nurse should notify the healthcare provider and assess the client's vital signs. Further diagnostic tests may be ordered to determine the cause and extent of the bleeding.

Step-by-step explanation:

If coffee ground material is draining from the nasogastric tube of a client who had an exploratory laparotomy, it may indicate gastrointestinal bleeding. The coffee ground appearance is due to the digestion of blood in the stomach. This can be a serious complication, and the nurse should take immediate action.

The appropriate intervention for the nurse to implement in this situation is to notify the healthcare provider and assess the client's vital signs. The healthcare provider may order further diagnostic tests, such as a complete blood count or upper gastrointestinal endoscopy, to determine the cause and extent of the bleeding.

It is important for the nurse to monitor the client closely and provide appropriate support and interventions as ordered by the healthcare provider.