The nurse is caring for a patient who had abdominal surgery with general anesthesia. What interventions should the nurse implement? (Select all that apply.)
a. Monitor for unilateral swelling of the calf.
b. Monitor first voiding after catheter removal.
c. Position carefully and pad bony prominences.
d. Encourage use of incentive spirometer as ordered.
e. Monitor pain level each hour that patient is awake.
f. Assist the patient to change position in bed every 4 hours.
ANS: A, B, D, E
Monitoring for calf swelling, voiding after catheter removal, use of incentive spirometer, and pain level are focused on preventing postoperative complications for this patient. C is an intraoperative intervention. F. The patient should move more than every 4 hours.
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