A nurse is updating a postoperative client’s plan of care. The nurse should include which of the following as the priority interventions?
A.
Reposition the client frequently.
B.
Instruct the client to use the incentive spirometer.
C.
Increase the amount of time the client spends out of bed each day.
D.
Ensure the client consumes an adequate amount of fluids.
Answer: B. Instruct the client to use the incentive spirometer.
Explanation:
In the postoperative period, one of the primary concerns is preventing respiratory complications, such as atelectasis (collapse of the alveoli) and pneumonia. Using an incentive spirometer encourages the client to take deep breaths, which helps to fully expand the lungs and improve oxygenation. This is crucial in preventing postoperative pulmonary complications.
While other interventions such as repositioning, increasing mobility, and ensuring adequate fluid intake are also important, using the incentive spirometer addresses the immediate priority of maintaining effective breathing and lung function, which is critical for the client’s recovery. Thus, it should be the priority intervention.