A patient returns from surgery following an abdominal-perineal resection with a sigmoid colostomy and abdominal and perineal incisions.The colostomy is dressed with petroleum jelly gauze and dry-gauze dressings.The perineal incision is partially closed and has two drains attached to Jackson-Pratt suction.During the early postoperative period,to what should the nurse give the highest priority?

Question

Quizplus · Accepted Answer

Assessing perineal drainage and incision would be the highest priority as the drains and incision require close monitoring for signs of infection or other complications. The colostomy stoma can be monitored, but it is not as urgent as assessing the perineal incision and drainage. Teaching about a low-residue diet and encouraging acceptance of the colostomy site are important, but not as urgent as assessing for postoperative complications.

A Patient Returns from Surgery Following an Abdominal-Perineal Resection with a Sigmoid