What action in the care plan for a client post-Billroth II procedure should a nurse question?

In the context of post-Billroth II care, the action of repositioning the nasogastric (NG) tube if drainage ceases is one that should be questioned. After a Billroth II procedure, which involves surgical modification of the stomach and the small intestine, the placement and function of the NG tube are critical for monitoring patient status and preventing complications, such as aspiration or bowel obstruction.

If drainage from the NG tube ceases, it often indicates a potential complication, such as a blockage or displacement, rather than an issue that can be resolved simply by repositioning the tube. It is crucial to report this finding rather than take independent action, as it may require additional assessment, intervention by the healthcare provider, or adjustment in the care plan.

Monitoring vital signs, encouraging active range-of-motion exercises, and assisting with coughing and deep-breathing exercises are all appropriate and necessary actions post-surgery. These help ensure adequate respiratory function, mobility, and overall recovery. Therefore, the action regarding the NG tube is the one that stands out as needing further questioning or reevaluation in the care plan.