The nurse should assess the patient for level of consciousness

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The nurse should assess the patient for level of consciousness, mental status, and orientation. By doing this assessment it allows the nurse to recognize signs and symptoms of neurological problems that may be related to oxygen deficit or hemorrhage. An assessment of the respiratory system should also be done to determine if the patient is in respiratory distress. Considering the patient is having bilateral decrease breath sounds and inspiratory crackles indicates atelectasis. The nurse should have the patient take deep breaths and cough then reassess. Constipation can occur after surgery due to opioid analgesics. If the patient does not have bowel sounds the nurse should administer a stool softener and encourage early ambulation and dietary intake. The provider needs to be informed if the patient does not have bowel movement in 2-3 days. Also, after surgery it is important to monitor the patient intake and output for signs of urinary distention

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