Question

A nurse is assessing a client who is 2 days postoperative following a total prostatectomy. The nurse notes that the client's right calf is red, edematous, and warm to the touch. Which of the following actions should the nurse take?

Elevate the clients right extremity
A nurse is assessing a client's recovery from spinal anesthesia. Which of the following sensations should the nurse expect to return to the client first?
A- Apply an ice pack to the clients right calf
B- Elevate the clients right extremity
C- Administer testosterone to the client
D- Gently massage the clients right calf

Answer 1

The nurse should elevate the client's right extremity to help reduce swelling and improve venous return, as this might be indicative of deep vein thrombosis, a common postoperative complication.

Step-by-step explanation:

If a nurse is assessing a client who is 2 days postoperative following a total prostatectomy and notes that the client's right calf is red, edematous, and warm to the touch, the recommended action to take would be to elevate the client's right extremity. This could be an indication of deep vein thrombosis (DVT), which is a common postoperative complication. Elevating the extremity can help reduce swelling and improve venous return. It is important that the nurse does not apply an ice pack, administer testosterone, or gently massage the client's right calf, as these actions could potentially worsen the condition or lead to a pulmonary embolism if a clot is dislodged.

Examples found in literature, such as the case of a patient with gangrenous inflammation and mobility issues that extend to the buttock, as well as stories of patients with infections and fever after minor traumas or surgical procedures, highlight the importance of prompt and appropriate nursing interventions to prevent complications.