Author Question: A client has returned to the unit following a wedge resection of the left lung for the presence of a ... (Read 21 times)

@Brianna17 · **on:** Jul 22, 2018

A client has returned to the unit following a wedge resection of the left lung for the presence of a tumor. Which of the following would the nurse have as a priority goal for this client?

1. Maintain current weight
2. Express feelings and concerns
3. Maintain a patent airway
4. Participation in care by the client

Question 2

When planning the care for a client with a surgical wound, the nurse includes the goal:

1. Discharge to home as soon as possible.
2. Increase ambulation.
3. Regain intact skin.
4. Resume independent activities of daily living.

amynguyen1221 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. Maintain a patent airway

Rationale:
All of the outcomes for this client are viable, but the highest priority outcome is maintaining a patent airway. Part of the lung has been removed, and care is directed at minimizing postoperative swelling, the accumulation of fluids, and optimal ventilation.

Answer to Question 2

3. Regain intact skin.

Rationale:
The client has impaired skin integrity because of a surgical wound. A goal of care would be for the client to have wound healing to achieve intact skin. Discharging the client to home may or may not be appropriate. The client may or may not be able to ambulate or perform independent activities of daily living.