The nurse is providing preoperative teaching for a client who will undergo herniorrhaphy surgery. Which instruction does the nurse give to the client?
a. "Eat a low-residue diet for the first week after surgery."
b. "Change the dressing every day until the staples are removed."
c. "Take acetaminophen (Tylenol) 1000 mg every 4 hours for pain."
d. "Cough and deep breathe every 2 hours for the first week after surgery."
B
The dressing should be changed every day until the staples are removed, so the client can check the incision for signs of infection. Constipation is common following hernia surgery, so clients should include adequate amounts of fiber in the diet. The maximum daily dosage of Tylenol is 4000 mg. Taking 1000 mg of Tylenol every 4 hours means that intake is 6000 mg/day, which could cause toxicity and liver damage. The client should change positions and take deep breaths to facilitate lung expansion but should avoid coughing, which can place stress on the incision line.
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