119k views
4 votes
A postoperative client says during a transfer, "I feel like something just popped." The nurse immediately assesses for:

A) Surgical site infection.
B) Hematoma formation.
C) Dehiscence.
D) Normal postoperative sensations.

User Friedo
by
7.6k points

1 Answer

7 votes

Final answer:

Immediate assessment for dehiscence is essential when a postoperative client reports a sensation of something popping, as it indicates a potential separation of the surgical wound and requires urgent attention.

Step-by-step explanation:

When a postoperative client reports a sensation of something popping during a transfer, the nurse should immediately assess for C) Dehiscence. This could indicate that the layers of skin and tissue that were closed during surgery are coming apart, which is a serious complication that necessitates prompt medical attention. It is less likely to be a normal postoperative sensation or a surgical site infection, although these cannot be ruled out without assessment. A hematoma formation might also be possible, though typically it would be indicated by swelling and discoloration rather than a popping sensation.

In the given context of the client stating 'I feel like something just popped' after surgery, prompt assessment and intervention by the healthcare team are crucial. The team which includes the surgeon, nurse, and anesthesia professional should have preemptively discussed critical and unexpected steps, including the possibility of dehiscence, and be prepared to act accordingly.

It is important for nursing staff to be vigilant and attentive to any signs of dehiscence or complications post-surgery. They should immediately report to the surgical team if such a situation arises, ensuring that appropriate care is provided swiftly.

User DeshDeep Singh
by
8.1k points