The nurse is preparing a discharge teaching plan for the male client who had umbilical hernia repair. What should the nurse include in the plan?
A. Irrigating the drain
B. Avoiding coughing
C. Maintaining bed rest
D. Restricting pain medication
Correct Answer: B. Avoiding coughing.
Coughing is avoided following umbilical hernia repair to prevent disruption of tissue integrity, which can occur because of the location of this surgical procedure. Splint the stomach by placing a pillow over the abdomen with firm pressure before coughing or movement to help reduce the pain.
Option A: A drain is not used in this surgical procedure, although the client may be instructed in simple dressing changes. Do not soak in a bathtub until the stitches or staples are removed. A small amount of drainage from the incision is normal.
Option C: Bed rest is not required following this surgical procedure. The client may slowly increase his activity. He should get up and walk every hour or so to prevent blood clot formation. After recovery, the client may return to work within 2 or 3 days. There should be no lifting anything above 10 lbs, climbing, or any strenuous activities for 4 to 6 weeks.
Option D: The client should take analgesics as needed and as prescribed to control pain. Most non-opioid analgesics are classified as non-steroidal anti-inflammatory drugs (NSAIDs). They are used to treat mild pain and inflammation or combined with narcotics. Narcotics or opioids are used for severe pain.
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