The nurse assesses a client who is one day postoperative from Whipple surgery. Which client problem should the nurse prioritize?

Rationale: A. While changes in body image can occur after major abdominal surgery, it is a psychosocial concern and does not pose an immediate threat to life. It can be addressed once physiological stability is ensured. B. After Whipple surgery (pancreaticoduodenectomy), clients are at high risk for fluid shifts, blood loss, and electrolyte disturbances due to extensive gastrointestinal manipulation, potential drainage from surgical sites, and altered absorption. Imbalances can lead to hypotension, arrhythmias, and organ dysfunction, making this the highest-priority problem in the immediate postoperative period. C. While changes in bowel patterns may occur due to surgery, anesthesia, and postoperative ileus, it is not immediately life-threatening compared to fluid and electrolyte disturbances. D. Although surgical incisions and drains pose a risk for skin breakdown, this is a lower-priority problem in the first 24 hours after major abdominal surgery, especially compared to potential complications from fluid and electrolyte imbalances.