After a gastrojejunostomy, which activity is least appropriate for the client?

In the context of post-operative care following a gastrojejunostomy, the activity that is least appropriate involves irrigating the nasogastric tube. After this type of surgery, which involves connecting the stomach to the jejunum, careful management of the nasogastric tube is crucial to prevent complications such as aspiration or disruption of the surgical site.

Irrigating the nasogastric tube can introduce fluid that may not be tolerated well, especially immediately post-surgery when the gastrointestinal system is sensitive. It can also lead to potential issues such as aspiration if the patient has difficulty handling secretions. Furthermore, maintaining the tube’s patency is vital, but this is typically managed according to specific protocols set by medical staff, rather than by patient or nurse-initiated interventions like irrigation.

In contrast, engaging in coughing and deep-breathing exercises is beneficial for lung expansion and preventing pneumonia. Early ambulation promotes circulation and speeds up recovery, and leg exercises are important for preventing deep vein thrombosis, all of which are appropriate interventions in the post-operative environment.