A client has undergone a transverse rectus abdominis myocutaneous (TRAM) flap procedure for breast reconstruction immediately following a mastectomy. Which of the following would be most appropriate to include in the client's postoperative plan of care?
-Monitoring the single incisional site at the breast
-Inspecting the breast site for expected mottling
-Encouraging coughing and deep breathing exercises
-Maintaining the client in the supine position

Respuesta :

The best way to include it in your patient's postoperative care plan is to encourage coughing and breathing exercises.

What is the TRAM flap procedure?

A surgical procedure to restore the shape of the breast after a mastectomy. A muscle in the lower abdomen called the rectus abdominis moves along with the skin, fat, and blood vessels from the lower abdomen to the chest.

Clients undergoing TRAM flap surgery have incisions at both the mastectomy and the donor site in the abdomen. Additionally, clients have more limited activity and are at higher risk for respiratory complications and deep vein thrombosis, making breathing and leg exercises essential. Newly created breast site stains should be reported to the surgeon immediately. He raises the head of the bed 45 degrees and flexes the patient's knees to help ease abdominal incision tension for the first week after surgery.

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