You are taking care of a client who has had a colporrhaphy. Which option would indicate a priority assessment during the postoperative period?
a. Documentation of a pessary in the operative procedure notes by the physician
b. Removal of vaginal packing as ordered by the physician
c. Use of a cell saver for transfusion therapy in the postoperative period
d. Order for removal of staples 2 to 3 days post-procedure
ANS: B
Vaginal packing is typically used in this type of pelvic surgery so it is a priority assessment that its removal be verified and documented. A pessary would be used as a nonsurgical intervention for a client who has had uterine prolapse and was not a surgical candidate based on medical history. A cell saver is used in orthopedic surgeries that are at risk for blood loss so that the client's own blood can be re-infused based on established protocol. There are no staples used in this type of surgical procedure, which is also known as an A & P (anterior and posterior) repair.
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