A nurse is caring for a client diagnosed with lung carcinoma and scheduled for a left pneumonectomy. The nurse should prioritize which nursing Intervention in the immediate postoperative period?

Initiate a weight-based continuous heparin infusion: Continuous heparin infusion is typically used for managing or preventing thromboembolic events, such as deep vein thrombosis or pulmonary embolism. In this scenario, the primary concern is a pneumothorax, and there is no indication that the client requires anticoagulation therapy at this time.

Prepare client for a chest tube insertion: Given the diagnosis of a right upper lobe pneumothorax, preparing the client for chest tube insertion is essential. A chest tube is necessary to evacuate air from the pleural space, restore negative pressure, and allow for lung re-expansion, which is critical in managing a pneumothorax.

Administer an analgesic: Administering an analgesic is essential to help manage the client's pain, which is likely due to the pneumothorax. Effective pain management can help reduce anxiety and improve the client's ability to breathe comfortably.

Insert an indwelling urinary catheter: Inserting an indwelling urinary catheter is not essential in this situation. The client has voided a sufficient amount of clear yellow urine, and there is no indication of urinary retention or other complications that would require catheterization.

Initiate supplemental oxygen: Initiating supplemental oxygen is essential for the client, who is exhibiting hypoxia with a pulse oximetry reading of 85% on room air. Providing supplemental oxygen will help improve oxygenation and alleviate respiratory distress.

A. Vanilla ice cream: While ice cream may be soothing for a sore throat, it is not the most nutritious option for a client with bacterial pharyngitis. Although it provides calories and can help with throat discomfort, it lacks essential nutrients that support recovery and may not help with hydration, which is critical during illness.
B. Chicken noodle soup: This option can be beneficial due to its warm temperature and potential nutritional value, including protein and hydration. However, the heat of the soup may irritate a sore throat further, especially if it is too hot. It can be a good option, but care should be taken to ensure it is at a comfortable temperature for the client.
C. Hot herbal tea: While herbal tea can provide hydration and soothing effects, it may also irritate a sore throat if served too hot. The temperature of the tea is a consideration, as consuming very hot liquids can exacerbate throat discomfort. Therefore, while it can be helpful, it may not be the best option for promoting comfort.
D. Fruit-flavored popsicles: This is the most recommended option for promoting nutrition during treatment for bacterial pharyngitis. Popsicles are cold, which can soothe a sore throat and reduce inflammation. They are also hydrating, easy to swallow, and can provide some calories, making them a good choice for maintaining nutrition and comfort during recovery. This option balances soothing relief with hydration and nutrition effectively.