A morbidly obese client is being prepared for a gastric reduction. Which of the following is most critical to include in the nurse’s care plan for this client?
a. Teaching coughing and deep breathing exercises
b. Identifying postoperative diet modifications
c. Discussing pain control measures
d. Teaching the proper techniques for ankle and leg exercises
Answer A. You have remembered an important point about postoperative concerns for clients after gastric surgery: the high risk for atelectasis and pneumonia secondary to reluctance to cough and deep breathe because of the high surgical incision.
Other postoperative concerns for clients after gastric reduction are peritonitis, stomal obstruction, ulcers, and thromboembolism.
a. Teaching coughing and deep breathing exercises
b. Identifying postoperative diet modifications
c. Discussing pain control measures
d. Teaching the proper techniques for ankle and leg exercises
Answer A. You have remembered an important point about postoperative concerns for clients after gastric surgery: the high risk for atelectasis and pneumonia secondary to reluctance to cough and deep breathe because of the high surgical incision.
Other postoperative concerns for clients after gastric reduction are peritonitis, stomal obstruction, ulcers, and thromboembolism.