SOLVED1084

Paula is doing well for her first postoperative day and the nurse explains that get- ting in and out of bed is fine but not to overdo it because her body also needs rest for healing. The following day Paula is “sore” and rates her pain as a 4 out of 10. The nurse administers 2 tabs of Tylenol #3 and a half hour later checks for its ef- fectiveness. At this time Paula rates her pain as a 2. The obstetrical surgeon comes in to see Paula and removes the initial dressing. Her incision is a Pfannenstiel incision that is closed by surgical staples, and it is dry and intact. The nurses R-E-E-D-A assessment of the incision is as follows: R: No redness E: Slightly ecchymosed over the mons pubis E: No edema D: No drainage noted A: Well approximated with skin staple closures Paula is also concerned about not having a bowel movement. An appropriate intervention for a patient concerned about having a bowel movement postpartum would be to: call the Healthcare Provider for an enema. Keep the patient NPO until she is more comfortable. Encourage a diet of cheese and eggs. Administer colace as ordered prn.
SCIENCE
HEALTH SCIENCE
NURSING

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