What rationale should the nurse give to a patient who has donated a kidney and refuses to ambulate?

The rationale that early walking helps prevent postoperative complications is particularly significant in the context of a patient who has undergone kidney donation. After such a major surgical procedure, patients are at risk for a range of complications, including deep vein thrombosis (DVT), pulmonary embolism, and respiratory issues. Ambulation promotes circulation, which helps reduce the risk of blood clots, and also aids in the prevention of pneumonia by encouraging ventilation of the lungs through deep breathing and movement.

Encouraging early ambulation is a fundamental aspect of postoperative care, as it activates the body’s natural healing mechanisms. Increased activity can also lead to improved bowel function, which is often a concern after abdominal surgery. In essence, ambulation is not only a means of mobilizing the patient but a critical strategy in the broader goal of ensuring a safe and effective recovery.

While early walking does contribute to promoting overall mobility and might indirectly improve appetite or be a prerequisite for discharge, the priority focus after surgery should be on minimizing complications that can arise from inactivity. Therefore, emphasizing the role of ambulation in preventing postoperative complications is the most compelling rationale for the nurse to provide to a patient hesitant to ambulate after donating a kidney.