Answer :
Maintaining a patent airway is the highest priority nursing intervention for a client in the immediate postoperative phase.
Caring for patients immediately postoperatively is a regular occurrence for many nursing staff. As this task is carried out on a daily basis, it is at risk of becoming ritualized.
Regular observations made in the postoperative period assist the health-care team to build up a complete picture of the patient’s condition following surgery and recovery from the anesthetic.
Some important postoperative observations are -
- Airway patency
- Respiratory status (rate and oxygen saturation)
- Cardiovascular status (blood pressure and pulse)
- Circulatory status (strict fluid balance and central venous pressure where available)
- Temperature
- Haemorrhage/drainage volumes/ vomiting/fluid balance
- Mental state
- Sweating/pallor
- Posture/facial expression
- General condition, such as colour, orientation and responsiveness
- Pain and discomfort
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