A male client had a herniorrhaphy for an incarcerated inguinal ...

[gonzo233]

A male client had a herniorrhaphy for an incarcerated inguinal hernia. Postoperatively, the nurse identifies pain as the primary problem associated with edema of the scrotum. Which nursing intervention is appropriate for this problem?
 
  1. Provide warm sitz baths several times a day.
  2. Elevate the scrotum on a small pillow.
  3. Apply moist heat to the abdomen.
  4. Administer narcotics for pain.

Question 2

A client had a sigmoid colostomy with abdominal-perineal resection incisions. The perineal resection is partially closed and has two drains attached to Jackson-Pratt suction devices.
 
  During the early postoperative period, which goal should be given the highest nursing priority?
 
  1. Promoting perineal drainage and healing
  2. Providing a clear liquid diet
  3. Encouraging acceptance of the colostomy
  4. Teaching colostomy irrigation

[Sophiapenny]

Answer to Question 1

Answer: 2

1. Sitz baths will not relieve edema and may even increase edema.
2. Elevation of the scrotum will help to relieve edema, which is causing the pain.
3. Moist heat will not relieve edema and may even increase edema.
4. Nonnarcotic pain management may be sufficient.

Answer to Question 2

Answer: 1

1. Care of the wound drains and incisions is a priority to prevent complications and ensure proper wound healing.
2. Fluids would be introduced gradually when bowel sounds have returned.
3. Care of the colostomy will be given attention later in the postoperative recovery period.
4. Care of the colostomy will be given attention later in the postoperative recovery period.