What is the nursing priority in the 24 hours after a client has had an abdominal hysterectomy?

The priority nursing action in the first 24 hours following an abdominal hysterectomy focuses on preventing respiratory complications, which is why encouraging the client to deep-breathe, cough, and use an incentive spirometer is essential. After any major surgery, patients are prone to respiratory issues due to anesthesia, immobility, and pain. Deep breathing exercises help expand the lungs and promote full oxygen exchange, while coughing helps clear secretions, reducing the risk of atelectasis and pneumonia. The use of an incentive spirometer provides visual feedback that encourages patients to achieve optimal lung expansion.

In the immediate postoperative period, the focus on respiratory function takes precedence as the patient may be at risk for complications that can lead to prolonged recovery or additional health issues. While monitoring for returning peristalsis, dietary adjustments, and discussions about emotional impacts are all important aspects of postoperative care, they are not as critical in the first 24 hours when the risk of respiratory complications is most acute.