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Multiple Choice
What is the highest priority nursing intervention for a client in the immediate postoperative phase?
A
Monitoring vital signs
B
Assisting with ambulation
C
Administering pain medication
D
Encouraging fluid intake
Verified step by step guidance
1
Understand the immediate postoperative phase: This is the period right after surgery when the patient is recovering from anesthesia and the effects of the surgical procedure.
Identify the primary concerns during this phase: The main priorities are ensuring the patient's stability, monitoring for any complications, and managing pain and discomfort.
Consider the options provided: Monitoring vital signs, assisting with ambulation, administering pain medication, and encouraging fluid intake.
Evaluate the importance of each option: Monitoring vital signs is crucial as it helps detect any immediate complications such as bleeding, respiratory issues, or cardiovascular instability.
Conclude that monitoring vital signs is the highest priority intervention: It provides essential information about the patient's condition and helps guide further interventions to ensure safety and recovery.