A child with an umbilical hernia is transferred to the postoperative care unit and the initial assessment is performed. Of the following, which is the priority nursing responsibility for
• If a hernia is more than 2 cm, surgery for repair will generally be indicated to prevent intestinal strangulation or intestinal obstruction. This is usually done when the child is 4 to 6 years of age.
• After surgery, the child may return with a pressure dressing, which remains in place until the sutures are well-healed. It is necessary to frequently check the wound site for any signs of hemorrhage. Assessments for bleeding are always the priority assessment when there is a risk of blood loss.
• Pain management and monitoring body temperature are
• Before surgery, signs of incarceration and strangulation should be checked. After surgery, the risk for this is low.