A client had a vaginoplasty under epidural anesthetic. Which action by the nurse is most important?
a. Ensure that the urinary catheter is securely attached to the leg.
b. Instruct the client not to try to get out of bed unassisted.
c. Monitor the client's dressings and wound drainage.
d. Position the Jackson-Pratt drain to the contralateral side.
ANS: B
Epidural anesthesia will cause the client to not be able to move (or feel) the legs for several hours. It is important for client safety that adequate help is available prior to this client trying to get out of bed. Securing the catheter to the leg and monitoring dressings and drainage are important for any client after surgery. Positioning the drain to the contralateral side is not needed.
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