After a splenectomy, which potential complications should the nurse monitor for in the immediate postoperative period?

Monitoring for complications after a splenectomy is critical due to the spleen's role in various bodily functions, including immune response and blood filtration. The correct answer encompasses multiple potential issues that can arise in the immediate postoperative period.

Shock is a serious complication that can occur due to significant blood loss during surgery or as a response to anesthesia. A thorough assessment of vital signs, fluid balance, and signs of bleeding is essential to identify any signs of shock early on.

Abdominal distention can indicate a range of issues, including ileus, which is a temporary paralysis of bowel activity. After abdominal surgery, patients are at risk for this condition, and monitoring for distention can help to ensure that the intestines are functioning properly and that there are no obstructions or other complications.

Pulmonary complications are a significant concern following any major surgery due to the risk of respiratory depression from anesthesia, decreased lung capacity from pain, or the effects of prolonged immobility. Monitoring respiratory status, oxygen saturation, and encouraging deep breathing exercises are vital strategies to mitigate this risk.

Because all three of these complications—shock, abdominal distention, and pulmonary issues—can present significant threats to patient safety following a splenectomy, it is important for the nurse to closely monitor