مريض بعد استئصال الطحال بسبب حادث. أي تعليم مهم؟

A client has had a splenectomy after trauma. Which teaching is important?

1. No vaccines are needed after surgery
2. Mild fever can usually be ignored
3. Avoid water for a month
4. Vaccines; report any fever

Answer: D) Vaccines; report any fever. After splenectomy the risk of severe encapsulated bacterial infection rises, so pneumococcal, meningococcal and Hib vaccines and urgent fever reporting are needed.