Which acute complication should a nurse assess in the early postoperative period after a radical nephrectomy?

In the early postoperative period following a radical nephrectomy, the most critical complication for a nurse to assess is hemorrhage. This surgical procedure involves the removal of a kidney and surrounding tissues, which can lead to significant blood loss. Vigilant monitoring for signs of hemorrhage, such as changes in vital signs, drainage from surgical sites, and patient reports of increasing pain or swelling, is essential to prevent further complications.

While other complications like sepsis, renal failure, and paralytic ileus are important to monitor, they are typically of less immediate concern compared to hemorrhage. Sepsis can develop later, renal failure may arise due to several factors over time, and paralytic ileus, while common after abdominal surgeries, usually doesn't present itself immediately. Therefore, during the early postoperative phase, recognizing the risk of hemorrhage is paramount for ensuring patient safety and prompt intervention.