After having a vertical sleeve gastrectomy performed, a 42-year-old male client returns to the surgical nursing unit with a nasogastric tube to low, intermittent suction and a client-controlled analgesia (PCA) machine for pain control. Which nursing action should be included in the post-op plan of care for the first 24 hours?

C Irrigate and reposition the NGT frequently D Offer cups of fruit juices at frequent intervals B Teach that PCA use may slow the return of bowel function, so the client should not overuse it A Teach the client to support the surgical site while deep breathing and coughing