A patient has returned to the post-surgical unit after vulvar surgery. What intervention should the nurse prioritize during the initial postoperative period?
A) Placing the patient in high Fowler's position
B) Administering sitz baths every 4 hours
C) Monitoring the integrity of the surgical site
D) Avoiding analgesics unless the patient's pain is unbearable
Ans: C
Feedback:
An important intervention for the patient who has undergone vulvar surgery is to monitor closely for signs of infection in the surgical site, such as redness, purulent drainage, and fever. The patient should be placed in low Fowler's position to reduce pain by relieving tension on the incision. Sitz baths are discouraged after of wide excision of the vulva because of the risk of infection. Analgesics should be administered preventively on a scheduled basis to relieve pain and increase the patient's comfort level.
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