A student nurse is caring for a patient who has undergone a wide excision of the vulva. The student should know that what action is contraindicated in the immediate postoperative period?
A) Placing patient in low Fowler's position
B) Application of compression stockings
C) Ambulation to a chair
D) Provision of a low-residue diet
Ans: C
Feedback:
Sitting in a chair would not be recommended immediately in the postoperative period. This would place too much tension on the incision site. A low Fowler's position or, occasionally, a pillow placed under the knees, will reduce pain by relieving tension on the incision. Application of compression stocking would prevent a deep vein thrombosis from occurring. A low-residue diet would be ordered to prevent straining on defecation and wound contamination.
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