Following colposcopy and snaring of polyps, postoperative care and observation of the patient includes the following:
a. *Check vital signs (temperature, pulse, BP, respiration rate) every 15 minutes × two and if stable (+/– 20% of preoperative recording), cease recording them.
*Check for evidence of bleeding per rectum half hourly—if none, commence patient mobilisation.
*Check whether the patient is experiencing pain, including its location and nature.
*Ensure that the patient has a carer who can drive them home.
b. *Check vital signs (temperature, pulse, BP) every 15 minutes for one hour, then cease if stable (+/– 20% of preoperative recording).
*Look at the abdomen every 30 minutes for signs of swelling.
*Ascertain whether the patient is experiencing pain, in particular ‘gas' pain, and treat as per gastroenterologist's orders.
*Commence the patient on normal diet as soon as possible postoperatively in preparation for discharge home.
c. *Check vital signs (pulse, BP, respiration rate) every 15 minutes for one hour and then hourly until discharged.
*Check for evidence of bleeding per rectum every 15 minutes for one hour and then hourly.
*Measure abdominal girth and check for rigidity every 15 minutes for one hour then hourly.
*Ascertain whether the patient is experiencing pain.
d. *Check vital signs (temperature, pulse, BP, respiration rate) every 15 minutes for one hour and then hourly until discharged.
* Check for bleeding per rectum every 15 minutes for one hour, then hourly.
*Mobilise the patient as soon as possible to prevent VTE and to encourage rapid return of normal GIT function.
*Check whether the patient is experiencing pain and treat as per gastroenterologist's orders.
ANS: C
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