The nurse is caring for an obese client who is postoperative gastric bypass surgery. The nurse plans care directed at the client's specific risks for postoperative complications by excluding which implementation?
1. Elevating the head of the bed and holding food and fluids until gag reflex returns
2. Turning and repositioning the client until she can move independently
3. Encouraging coughing and deep-breathing exercises
4. Applying and maintaining antiembolism stockings
1
Rationale: This client will be n.p.o. until peristalsis returns and initial healing of the internal suture lines begins. The gag reflex will return long before this client is allowed to eat. Because the client is obese, she is at risk for respiratory complications, thrombophlebitis, and poor wound healing that can result in hemorrhage, dehiscence, and infection.
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Which prescriptions should the nurse anticipate to be included in balanced anesthesia?
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