Question

The RN on a surgical unit is serving as preceptor to a newly licensed RN. Which action by the new RN requires preceptor intervention? A. Preparation for manipulation of an NG tube on a client 2 hours postoperative bariatric surgery B. Instructing a client to splint the surgical site during coughing and deep breathing exercises C. Assisting a two-day postoperative client to ambulate in the hallway D. Beginning an abdominal assessment by auscultating bowel sounds

Short answer

Answer: Preparation for manipulation of an NG tube on a client 2 hours postoperative bariatric surgery.

Step-by-step solution

Read and understand each option

Carefully analyze each option in the exercise to determine if it is a safe and appropriate action for a newly licensed RN in a surgical unit.

Analyze option A

Option A states: "Preparation for manipulation of an NG tube on a client 2 hours postoperative bariatric surgery". This action may require intervention because manipulating an NG tube on a patient who is recently postoperative can be dangerous and may lead to complications. In some cases, this may be the responsibility of a more experienced nurse, and the new RN should seek guidance before performing this action.

Analyze option B

Option B states: "Instructing a client to splint the surgical site during coughing and deep breathing exercises". This is a safe and appropriate action for a newly licensed RN. Splinting the surgical site helps reduce pain and supports the incision during coughing, preventing complications such as dehiscence (separation of the surgical wound).

Analyze option C

Option C states: "Assisting a two-day postoperative client to ambulate in the hallway". This is also a safe and appropriate action for a newly licensed RN. Early ambulation is encouraged after surgery to prevent complications such as deep vein thrombosis (DVT) and pneumonia.

Analyze option D

Option D states: "Beginning an abdominal assessment by auscultating bowel sounds". This is another safe and appropriate action for a newly licensed RN. Auscultating bowel sounds is a non-invasive way to monitor the client's gastrointestinal function and is a standard part of an abdominal assessment.

Choose the correct answer

Based on the analysis of each option, option A requires intervention from the preceptor. The nurse should seek guidance from their preceptor before manipulating an NG tube on a client 2 hours postoperative bariatric surgery to ensure patient safety and avoid complications.