In caring for a patient following lobectomy for lung cancer, ...

[Jkov05]

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.

Question 2

While planning care for a patient experiencing fatigue due to chemotherapy, which of the following is the most appropriate nursing intervention?
 
  a. Prioritization and administration of nursing care throughout the day
  b. Completing all nursing care in the morning so the patient can rest the remainder of the day
  c. Completing all nursing care in the evening when the patient is more rested
  d. Limiting visitors, thus promoting the maximal amount of hours for sleep

[Jody Vaughn]

Answer to Question 1

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.

Answer to Question 2

ANS: A
Pacing activities throughout the day conserves energy, and nursing care should be paced as well. Fatigue is a common side effect of cancer and treatment; and while adequate sleep is important, an increase in the number of hours slept will not resolve the fatigue. Restriction of visitors does not promote healthy coping and can result in feelings of isolation.

[Jkov05]

TYSM

[Jossy]

Thanks for the timely response, appreciate it