Author Question: The nurse is caring for an obese client who is postoperative gastric bypass surgery. The nurse plans ... (Read 32 times)

deesands · **on:** Jul 22, 2018

The nurse is caring for an obese client who is postoperative gastric bypass surgery. The nurse plans care directed at the client's specific risks for postoperative complications by excluding which implementation?

1. Elevating the head of the bed and holding food and fluids until gag reflex returns
2. Turning and repositioning the client until she can move independently
3. Encouraging coughing and deep-breathing exercises
4. Applying and maintaining antiembolism stockings

Question 2

While assessing a client's respirations as abnormal, the nurse notes the following: Standard Text: Select all that apply.

1. The rate of respirations
2. The depth of respirations
3. The client's normal breathing patterns
4. The relationship of respirations to cardiovascular function
5. Lack of sound when breathing

bigcheese9 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1
Rationale: This client will be n.p.o. until peristalsis returns and initial healing of the internal suture lines begins. The gag reflex will return long before this client is allowed to eat. Because the client is obese, she is at risk for respiratory complications, thrombophlebitis, and poor wound healing that can result in hemorrhage, dehiscence, and infection.

Answer to Question 2

1,2,3,4
Rationale: The nurse notes the rate of respirations, by number, as well as terms such as tachypnic and bradypnic.