A 75-year-old client is received into the postanesthesia recovery room (PACU) following a 6-hour abdominal surgery. The client's hemodynamic status is stable
Based upon the nurse's knowledge of this client's surgery and the common postoperative complications this client might be at risk for, the recovery room nurse would provide which of the following interventions? 1. Keep the room temperature at 70 degrees, consider supplemental oxygen, and provide warm blankets.
2. Assess the client's blood pressure more frequently than for younger clients and provide oxygen.
3. Consider increasing the IV fluids, assess for urine output, and monitor the oxygen saturation.
4. Provide postoperative instructions to avoid straining and to eat a low-fiber diet.
Keep the room temperature at 70 degrees, consider supplemental oxygen, and provide warm blankets.
Rationale: This client is at risk for hypothermia based upon the client's age, the length of surgery, and the likelihood of intra-operative irrigants to the abdomen. Therefore, the nurse's role will be to minimize the risk for hypothermia by providing warm blankets, keeping the room at 70 degrees, and, if the core temperature drops, considering the provision of supplemental oxygen. The client's hemodynamic status is stable; therefore, the blood pressure is stable. Oxygen may be needed if the client is hypothermic. The IV rate does not need to be increased at this time because the client is hemodynamically stable. The urine output would be automatically monitored, but the nurse would not anticipate a problem with it since the client is hemodynamically stable. Since the client was in surgery for 6 hours, the postoperative instructions to avoid straining and eat a low-fiber diet are not applicable to the question.
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