A nurse is conducting preoperative teaching with a client who is to undergo open abdominal surgery. Which of the following is important to prevent postoperative complications?
Discuss pain management with the client.
Explain the need for sequential compression devices.
Review the policy with the client and family.
Ensure the operative site has been secured.
The Correct Answer is B
Choice A reason: Discussing pain management is important for patient comfort but does not directly prevent postoperative complications.
Choice B reason: Sequential compression devices are used to prevent deep vein thrombosis, a common postoperative complication, making this the correct answer.
Choice C reason: Reviewing policy with the client and family is part of the overall care but is not specific to preventing postoperative complications.
Choice D reason: Ensuring the operative site has been secured is a procedural task and does not directly prevent postoperative complications.
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Correct Answer is D
Explanation
Choice A reason: While nurses play a role in the informed consent process, they are not responsible for obtaining the consent for the surgery.
Choice B reason: An anesthesiologist may obtain consent for anesthesia but not for the surgical procedure itself.
Choice C reason: The surgical suite nurse assists in the operating room but does not obtain consent for the surgery.
Choice D reason: The surgeon performing the procedure is responsible for obtaining informed consent from the patient, making this the correct answer.
Correct Answer is B
Explanation
Choice A reason: Placing the patient supine with the knees flexed may be done to reduce tension on the abdominal area, but it is not the immediate action for wound dehiscence.
Choice B reason: Covering the wound with a clean towel is a priority to protect the wound from infection and further injury until it can be assessed and treated by a healthcare provider.
Choice C reason: Applying an abdominal binder may provide support to the abdominal area, but it should not be done without assessing the wound first.
Choice D reason: Offering a drink of water is not related to the immediate care of wound dehiscence.
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