A client has undergone an esophagogastrostomy for cancer of the esophagus. How will the nurse best support the client's respiratory status?
a. Assessing the client's breath sounds every 4 hours
b. Performing chest physiotherapy every 6 hours
c. Maintaining the client in a supine position
d. Administering analgesia regularly
D
Respiratory care is the highest postoperative priority. Incisional support and adequate analgesia are crucial for effective coughing and deep breathing. As long as vital signs are stable, the nurse administers analgesia regularly to assist the client in performing deep breathing, turning, and coughing routines. Assessing breath sounds is a vital nursing assessment but will not help support respiratory function. The client may or may not need chest physiotherapy. The client should not be kept in a supine position, but rather sit up in the chair and ambulate as much as possible.
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