Postoperative Gastrectomy CAE PNCI Assessment NURS 224 2023. GRADED A+

Postoperative Gastrectomy CAE PNCI Assessment Preparation Questions • Describe a focused assessment for a postoperative gastrectomy patient. Assess color, amount and odor of the gastric discharge. Assess for electrolyte levels. Assess for bowel sounds and abdominal distribution. Assess for complications of the surgery like dumping syndrome, post prandial hypoglycemia and pernicious anemia. Assess the level of pain. Assess for weight daily and compare with previous reading. Identify foods that cause gastric irritation. Assess the position and patency of the nasogastric tube. • What are possible abnormal assessment findings for a postoperative gastrectomy patient? Pushing food from your stomach to your small bowel too quickly (dumping syndrome) Acid reflux Diarrhea Chest infections, including bronchitis and pneumonia Internal bleeding Nausea and vomiting Stomach acid leaking into your esophagus, causing scarring and narrowing Vitamin deficiencies Unintended weight loss • What should the nurse do if an abnormal finding has been assessed? If any abnormal findings are identified, the nurse must ensure that appropriate action is taken. • Describe the differences between serous, serosanguineous and sanguineous drainage. Serous drainage is mostly clear or slightly yellow thin plasma that is just a bit thicker than water Serosanguineous—thin, watery, pale red to pink plasma with red blood cells. Sanguineous— bloody drainage (fresh bleeding) seen in deep partial-thickness and full-thickness wounds during angiogenesis. • What is the correct technique for grading edema? Describe each grade of edema. Grading. Pitting edema is graded on a scale from 1 to 4, which is based on both the depth the