Question

The nurse places a client in the supine position on the operating table for abdominal surgery that is expected to extend beyond 2 hours. Which measure is most important for the nurse to provide?

Answer 1

The nurse must focus on preventing pressure ulcers when a patient is in the supine position for an extended surgery by monitoring, repositioning, and using pressure-relieving devices. During the surgical time out, the team reviews patient care critical details.

Step-by-step explanation:

The most important measure for the nurse to provide when placing a client in the supine position on the operating table for an abdominal surgery that extends beyond 2 hours is ensuring the prevention of pressure ulcers. This involves frequent monitoring and possibly repositioning the patient to prevent prolonged pressure on any one body part, as well as the use of pressure-relieving devices like specialized mattresses or padding. Proper alignment of the body to prevent nerve damage and ensuring the patient's dignity and comfort throughout the procedure are also essential considerations.

During the surgical time out, it is crucial for the operating team to review key concerns for the patient's recovery and care, confirming critical details such as prophylactic antibiotics administration, essential imaging results, and operating team awareness of any known allergies or airway risks. Correct confirmation of the patient's identity, surgical site, and procedure as well as surgeon-specific, anesthesia-specific, and nursing-specific concerns should also be reviewed.

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