A nurse is caring for a client who has had nasal surgery. What measure should be employed when caring for this client?
A) Remove the gauze from the nostrils 2 hours after the surgery.
B) Instruct the client to avoid breathing through the mouth.
C) Examine the back of the throat to check for drainage of blood.
D) Assist the client to a supine position to facilitate breathing.
C
Feedback:
When caring for a client after nasal surgery, the nurse should frequently examine the back of the throat for draining of blood. The gauze from the nostrils should be removed 24 to 48 hours after the surgery. The client can breathe only through the mouth during the initial postoperative period, so the nurse should not instruct the client to avoid breathing through the mouth. The nurse should not assist the client to a supine position, instead elevating the head, which facilitates breathing.
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