Which manifestation indicates that a postoperative client may need a nasogastric tube for gastric decompression?

The indication that postoperative clients may require a nasogastric tube (NG tube) for gastric decompression is typically abdominal distention. This occurs when there is an accumulation of gas or fluid in the stomach or intestines, which can lead to discomfort and potential complications like bowel obstruction. In a postoperative context, abdominal distention can signal that the gastrointestinal tract is not functioning properly—possibly due to surgical manipulation, anesthesia effects, or underlying conditions.

Using an NG tube helps relieve this distention by facilitating the removal of excess air and fluid, thereby alleviating pressure and discomfort and allowing the gastrointestinal system to rest and recover. Monitoring for such signs is essential for ensuring patient safety and encouraging proper recovery after surgery.

The other options do not indicate a need for gastric decompression. Increased appetite is a sign of recovery rather than a complication, stable vital signs typically suggest that a patient is stable and not in distress, and clear bowel sounds indicate that gastrointestinal function is still intact, which does not warrant the use of an NG tube for decompression.