An Hour After a Left Upper Lobectomy, a Patient Complains

question 35

Multiple Choice

An hour after a left upper lobectomy, a patient complains of incisional pain at a level 7 out of 10 and has decreased left-sided breath sounds. The pleural drainage system has 100 ml of bloody drainage and a large air leak. Which action should the nurse take first?

• A) Assist the patient to deep breathe and cough.
• B) Milk the chest tube gently to remove any clots.
• C) Medicate the patient with the ordered morphine.
• D) Notify the surgeon about the large air leak.

---

Definitions:

Bearer Instrument

A bearer instrument is a type of document that allows the holder to claim the rights or assets it represents without endorsing or proving ownership.

Order Instrument

A financial document that is payable to a specified person or entity, such as a check, which requires endorsement for cashing or deposit.

Endorsed

Officially approved or supported, or signed on the back to transfer ownership or to show agreement.

Negotiability

The feature of a financial instrument that allows it to be transferred or assigned from one party to another in a manner that the transferee obtains a good title.