In caring for a patient following lobectomy for lung cancer, which of the following should the nurse include in the plan of care?
a. Position the patient on the operative side only.
b. Avoid administering narcotic pain medications.
c. Keep the patient on strict bed rest.
d. Instruct the patient to cough and deep breathe.
ANS: D
Postoperative deep breathing and coughing is important to promote oxygenation and clearing of secretions. Pain medications will be given to lessen pain and allow for deep breathing and coughing. Strict bed rest is not instituted, because early ambulation will help lessen postoperative complications such as deep vein thrombosis. Prolonged lying on the operative side is avoided.
You might also like to view...
Which of the following would indicate that a newly transplanted liver is not functioning properly?
a. Increased serum glucose b. Low aspartate aminotransferase (AST) and alanine aminotransferase (ALT) c. Elevated prothrombin time d. Decreased blood urea nitrogen and creatinine
A nurse is caring for a client experiencing spinal shock after a spinal cord injury. What clinical manifestation would indicate the resolution of spinal shock?
A. The return of reflex activity B. Normalization of the pupillary reflex C. Return of bowel and bladder continence D. Tingling in the extremities below the lesion
A 68-year-old patient who is hospitalized with pneumonia is disoriented and confused 3 days after admission. Which information indicates that the patient is experiencing delirium rather than dementia?
a. The patient was oriented and alert when admitted. b. The patient's speech is fragmented and incoherent. c. The patient is oriented to person but disoriented to place and time. d. The patient has a history of increasing confusion over several years.
A group of students are reviewing information about copyright law. The students demonstrate understanding when they identify which of the following as an exception? Select all that apply
A) Height and weight chart B) Recorded speech C) Short phrases D) List of ingredients E) Quotation