Grafting and Reconstructive Surgery · NCLEX Exam

What is the most critical nursing priority immediately after graft placement?

  1. Ensuring the patient receives frequent high-calorie meals
  2. Preventing shear and fluid build-up while immobilising the graft site
  3. Encouraging vigorous early exercise of the grafted limb
  4. Leaving the dressing off to inspect the site every 30 minutes
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Correct answer: Preventing shear and fluid build-up while immobilising the graft site

Maintaining graft site immobilization, preventing fluid accumulation, and minimizing shear forces are crucial to optimize graft success.

Difficulty: Easy Question 14 of 15

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