Gastrointestinal System Disorders Q 332 - Gyan Darpan : Learning Portal
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Sunday, 10 April 2022

Gastrointestinal System Disorders Q 332

The nurse is preparing a discharge teaching plan for the client who had an umbilical hernia repair. Which of the following would the nurse include in the plan?
    A. Restricting pain medication.
    B. Maintaining bedrest.
    C. Avoiding coughing.
    D. Irrigating the drain.

Correct Answer: C. Avoiding coughing.

Coughing is avoided to prevent disruption of the 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: 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.
Option B: Bedrest 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: 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.

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