Entering the room of a sedated postoperative client, which assessment requires immediate intervention?

• A. Low intermittent suction prescribed for the nasogastric tube is turned off.
• B. Vital signs are stable.
• C. Pain is 2/10.
• D. Oxygen saturation is 96%.

Answer: (A)

Maintaining gastric decompression in a sedated postoperative patient is essential because airway reflexes are diminished and the risk of aspiration is higher. If the low intermittent suction for the nasogastric tube is turned off, the stomach can distend, secretions can accumulate, and the chance of emesis and aspiration increases as the patient awakens. This requires immediate correction by reestablishing suction and confirming the tube is patent and correctly connected to the appropriate suction setting, then continuing to monitor for abdominal distention and other signs. The other findings—stable vital signs, low pain, and oxygen saturation at 96%—do not indicate an acute urgent threat and can be monitored after ensuring the NG suction is functioning.