What interventions do you need to implement to promote T.C.'s respiratory status?

Question

What will be an ideal response?

Answer 1

• Frequently monitor respiratory rate, rhythm, and depth. A pulse oximeter should be used to
monitor O2
saturation levels continuously.
• Perform a thorough respiratory assessment. Assess color and warmth of skin and mucous
membranes. Auscultate lung sounds, checking for crackles and an absence of sounds, and check
for symmetry of lung sounds and chest movements. Listen for snoring and stridor, which could
indicate obstruction.
• Encourage T.C. to breathe deeply or use an incentive spirometer to expand all lung fields and
facilitate the pulmonary excretion of anesthetic agents.
• T.C. needs to cough and turn side to side to facilitate the mobilization of pulmonary fluids. Have
her splint the incision when moving.
• Administer oxygen therapy as ordered to maintain her oxygen saturation at an acceptable level.
• Keep a manual resuscitation bag close by as well as suctioning equipment.