A 40-year-old client has been admitted to the healthcare facility to undergo a peptic ulcer repair under general anesthesia. Which nursing step must the nurse perform as part of the preoperative nursing care?
A) Postoperative infection
B) Pulmonary embolism
C) Hypovolemic shock
D) Atelectasis
B
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Inactivity and prolonged bed rest following surgery can lead to the development of pulmonary embolism in the client. Pulmonary embolism occurs owing to a blood clot lodging in the small vessels of the lungs. Postoperative infections are not caused by prolonged bed rest following surgeries; they are often characterized by elevated temperature 2 or 3 days following surgery, severe pain, redness or swelling around the incision, or an elevated white blood count. Hypovolemic shock develops as the result of severe loss of blood (hemorrhage) following the surgery and not because of prolonged bed rest following the surgery. Atelectasis generally develops because of the client's reluctance to cough or breathe deeply because of the incision pain and not because of inactivity or prolonged bed rest following surgery. Atelectasis is the collapse of the air sacs in the lungs caused by obstruction of the bronchi with mucous plugs.
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