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Chapter 9: Problem 3

A client has returned from an open surgical procedure for a hiatal hernia repair. Which nursing intervention is a priority? A. Providing pain medication as needed B. Assisting with and monitoring incentive spirometry C. Assessing for bladder distention every four hours D. Lowering the head of the bed to prevent hypovolemia

Short Answer

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Answer: B. Assisting with and monitoring incentive spirometry

Step by step solution

01

Option A: Providing pain medication as needed

Providing pain medication as needed is an important aspect of patient care, especially for those recovering from surgery. However, it's not necessarily the most urgent priority in this specific case.
02

Option B: Assisting with and monitoring incentive spirometry

Incentive spirometry is a technique used to encourage deep breathing after surgery to help prevent complications such as pneumonia and atelectasis (collapsed lung). This is particularly beneficial for patients after open surgery as it can help improve lung function, prevent complications, and optimize recovery. Therefore, assisting with and monitoring incentive spirometry would be a priority.
03

Option C: Assessing for bladder distention every four hours

Assessing for bladder distention is essential to identify urinary retention and prevent urinary tract infections. However, this intervention may not be the most critical postoperative care priority specific to the open surgical procedure for a hiatal hernia repair.
04

Option D: Lowering the head of the bed to prevent hypovolemia

Hypovolemia or low blood volume can be a risk during surgery, but lowering the head of the bed may not be the most effective way to address or prevent it. In fact, it may be more appropriate to elevate the head of the bed to aid in digestion and prevent reflux following hiatal hernia repair. #Conclusion# Based on the analysis of each intervention, the priority nursing intervention for a client returned from an open surgical procedure for a hiatal hernia repair is:
05

Priority Intervention

B. Assisting with and monitoring incentive spirometry

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