A client had an open fundoplication 2 days ago. Which assessment by the nurse indicates that an important National Patient Safety Goal is being met for this client?
a. The client uses the spirometer during the shift.
b. The client's pain is monitored and treated.
c. The client has vital signs taken routinely.
d. The client verbalizes understanding of the discharge teaching.
B
Pain must be monitored and aggressively treated after an open fundoplication because the high incision makes breathing very painful. If the client does not participate in deep-breathing exer-cises and will not use the spirometer, the chance of respiratory complications is quite high. Na-tional Patient Safety Goals include goals selected to reduce/prevent health care–related infection. Using the spirometer will help prevent pneumonia and atelectasis, but the client must use it hourly. Taking vital signs may help the nurse notice an infection but will not prevent the infec-tion. Understanding discharge teaching is important, but preventing respiratory complications takes priority.
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