Practice Question # 562.
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Question 1 of 1
Which of the following actions by the nurse would certainly be considered negligence?Correct
Answer & Rationale:
The Answer is 3
Turning and repositioning a client every shift after post-abdominal surgery—CORRECT: Postoperative clients should be turned and repositioned every 2 hours after surgery to promote circulation and reduce the risk of skin breakdown (except if contraindicated, such as in neurologic or musculoskeletal surgery demanding immobilization)Incorrect
Answer & Rationale:
The Answer is 3
Turning and repositioning a client every shift after post-abdominal surgery—CORRECT: Postoperative clients should be turned and repositioned every 2 hours after surgery to promote circulation and reduce the risk of skin breakdown (except if contraindicated, such as in neurologic or musculoskeletal surgery demanding immobilization)
Abdominal Surgery Caring for Yourself at Home.
Your Checklist for Going Home
The information contained in this section will help you manage your care at home. Review this checklist carefully before you go home. If you have any additional questions, please ask your doctor or nurse.
- Plan your transportation home.
- Schedule the date for your next doctor’s appointment.
- Get your prescription(s).
- Know what medication to take, its purpose, and possible side effects.
- Understand the danger signals related to your operation. Call your doctor if you
- experience any of these symptoms before your next appointment.
- Know your activity limitations.
- Know how to change your dressing (if you have one).
Arranging Transportation Home
You should be able to go home safely in a family member or friend’s car. You may feel more comfortable with a pillow over you abdomen under the seatbelt. An RN Case Manager will help you make arrangements if you need a ride home or help getting up the stairs. Most insurance plans will not pay for transportation home.
Making a Follow-up Appointment After Your Surgery
Your surgeon will see you in the office about 1-2 weeks after your surgery. Call the surgeon’s office to make an appointment.
Understanding Your Medications
- Generally, your surgeon will order a pain medication when you go home.
- If the pain medication does not control your pain, please let your surgeon know.
- Constipation is a common side effect of pain medication. Here are some tips to
prevent constipation: take a stool softener, add fiber to your diet, drink plenty of
fluids, and increase your activity level.
- Some medications may be expensive and insurance coverage varies. Let your surgeon know if you have difficulty filling your prescriptions. There may be alternative medications available that are less expensive.
Recognizing Danger Signals
Call your doctor if you have any of the following symptoms:
- Inability to tolerate foods or fluids.
- Persistent nausea or vomiting.
- Swelling or pain in either leg or calf.
- Signs of surgical site infection: increased redness, increased
drainage or swelling, and worsening pain.
- If you feel warm or chilled, check your temperature. Call the
doctor for a temperature of 101° F/ 38.5°C or above.
Caring for Your Surgical Incision
- You may wash the incision daily with soap and water; pat dry gently. Keep your incision clean and dry until all the staples or stitches are removed.
- Do not apply cream or ointment to the staples or stitches, unless instructed to do so by your surgeon.
- The staples or stitches will usually be taken out 5-7 days after your surgery. Your surgeon or a nurse will remove the staples or stitches.
- You may have Steri-Strips® (incision tapes) on the incision. These will fall off by themselves in 1-2 weeks.
- After the staples are removed, and the Steri-Strips® have fallen off, the scar will fade and soften over time