RECOVERY ROOM (Immediate Postoperative Care)

1. Assess for and maintain patent airway. 
     1. Position unconscious or semiconscious client on side (unless contraindicated) or on back with
         head to side and chin extended forward. 
     2. Check for presence/absence of gag reflex. 
     3. Maintain artificial airway in place until gag and swallow reflex have returned.
    2. Administer oxygen as ordered.
    3. Assess rate, depth, and quality of respirations. 
    4. Check vital signs every 15 minutes until stable, then every 30 minutes.
    5. Note level of consciousness; reorient client to time, place, and situation.
    6. Assess color and temperature of skin, color of nailbeds, and lips.
    7. Monitor IV infusions: condition of site, type, and amount of fluid being infused and flow rate.
    8. Check all drainage tubes and connect to suction or gravity drainage as ordered; note color,
        amount, and odor of drainage.

      

    9. Assess dressings for intactness, drainage, hemorrhage.
    10. Monitor and maintain client's temperature; may need extra blankets.
    11. Encourage client to cough and deep breathe after airway is removed.
    12. If spinal anesthesia used, maintain flat position and check for sensation and movement in lower
          extremities.

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