You are part of a surgical team and your role

 

You are part of a surgical team and your role is postoperative management of thoracic surgery. In your role, you are required to determine the course of action for the patient before you call surgeon. A right lower-lobe resection occurred due to adenocarcinoma. The nurse has called at the 12-hour interval from surgery concerned with the amount of drainage within the chest tube.

  • Describe the role of an AGACNP at each of the steps in postoperative care for a surgical patient.
  • Describe the assessment steps you would take.
  • Explain the drainage and decompression devices and how you manage these as an AGACNP.
  • Discuss potential differential diagnoses you could expect from the assessment.
  • Discuss the hemodynamic findings one might see with your provided diagnosis.
  • Propose potential treatment plans that would be appropriate.
 

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