You are taking care of a client who has had a colporrhaphy. Which option would indicate a priority assessment during the postoperative period?
A) Documentation of a pessary in the operative procedure notes by the physician
B) Removal of vaginal packing as ordered by the physician
C) Use of a cell saver for transfusion therapy in the postoperative period
D) Order for removal of staples 2 to 3 days post-procedure

Question

Quizplus · Accepted Answer

Vaginal packing is typically used in this type of pelvic surgery so it is a priority assessment that its removal be verified and documented. A pessary would be used as a nonsurgical intervention for a client who has had uterine prolapse and was not a surgical candidate based on medical history. A cell saver is used in orthopedic surgeries that are at risk for blood loss so that the client's own blood can be re-infused based on established protocol. There are no staples used in this type of surgical procedure, which is also known as an A & P (anterior and posterior) repair.

You Are Taking Care of a Client Who Has Had