A 52-Year-Old Woman with a Left Mastectomy Followed by a TRAM

Multiple Choice

A 52-year-old woman with a left mastectomy followed by a TRAM flap reconstruction was beginning to emerge from anesthesia after her procedure.The perioperative nurse gently moved her arms from the abducted position on the arm boards in preparation for her transfer to her postoperative bed and admission to the postanesthesia care unit (PACU) .What risk reduction maneuver did the nurse employ to the patient's bed before transferring her?

A) Flattened the bed to a horizontal plane with slight reverse Trendelenburg to support her airway.
B) Raised the head of the bed to low Fowler flex position to reduce the stretching on the abdominal donor graft wound site.
C) Raised the foot of the bed to minimize deep vein thrombosis formation.
D) Slid a wedge under the top of the mattress on the left side to prevent dependent edema in the graft site.