The newly licensed nurse is learning how to care for patients who have had thoracic surgery following a diagnosis of lung cancer

Question

Which statement by the nurse would the preceptor evaluate as indicating the need for additional teaching? Select all that apply. 1. "I should assess the patient's respiratory system at least every 4 hours.".
2. "I shouldn't offer pain medications to this patient because it will result in severe respiratory depression.".
3. "If there are items that the patient needs frequently, I should keep them across the hospital room. This will ensure that the patient will get better faster.".
4. "I will talk with the physical therapist about a plan for the patient's activity.".
5. "I should teach my patient how to splint the incision.".

Answer 1

2,3
Rationale 1: The nurse should perform a respiratory assessment at least every 4 hours.
Rationale 2: Pain medications should be offered after thoracic surgery to ensure that the patient can perform pulmonary rehabilitation exercises such as coughing, deep breathing, and incentive spirometry. The patient who is using pain medications must be monitored for respiratory depression so that it can be treated.
Rationale 3: This patient should be encouraged to conserve energy. Items that are used frequently should be kept within the patient's reach.
Rationale 4: Patients will lung cancer benefit from a multidisciplinary approach to care.
Rationale 5: Splinting the incision will make coughing and moving more comfortable.