Final answer:
The priority nursing intervention after an open hiatal hernia repair is to monitor for respiratory problems and maintain a clear airway, followed by pain management, monitoring for signs of infection, and ensuring sterility and equipment function.
Step-by-step explanation:
Nursing Intervention Priority after Hiatal Hernia Surgery
The nursing intervention that is a priority for a client who has undergone an open surgical procedure for hiatal hernia repair is monitoring for respiratory complications. Post-operatively, patients are at an increased risk for respiratory issues due to the location of the surgery, the possibility of pain affecting deep breathing, and the risk of aspiration. The nurse must ensure that the patient's airway remains clear, monitor oxygen saturation via the pulse oximeter, and encourage the patient to perform deep breathing and coughing exercises. Alongside ensuring adequate respiratory function, the nurse should also focus on pain management, which can in turn support respiratory efforts, reducing the risk of pneumonia or other complications.
Additional post-operative care includes monitoring for signs of infection, ensuring the patient's understanding and compliance with post-surgery instructions, and confirming the sterility and proper function of any post-operative drains or equipment as initially reviewed by the nursing staff. Maintaining sterile technique and prompt intervention for any signs of infection is critical.
Finally, the nurse will also perform routine duties such as confirming the patient's identity, reviewing allergies, checking equipment availability, and maintaining up-to-date and accurate documentation of the patient’s care and recovery progress.