Saunders Respiratory Practice

What is a common complication to monitor for in clients after thoracic surgery?

1. Pneumonia

2. Hypotension

3. Deep vein thrombosis

4. Myocardial infarction

The correct answer is: Pneumonia

A common complication to monitor for after thoracic surgery is pneumonia. This is primarily due to the effects of anesthesia, pain, and the surgical procedure itself, which can impair respiratory mechanics and lead to inadequate ventilation or coughing. Factors such as decreased mobility, the potential for fluid accumulation in the lungs, and the alteration of normal respiratory function contribute to the increased risk of infection. Monitoring for pneumonia involves being vigilant for symptoms such as fever, cough, and increased sputum production, as well as changes in lung sounds upon auscultation. Early identification and management of pneumonia are critical to prevent further complications and promote effective recovery post-surgery. While hypotension, deep vein thrombosis, and myocardial infarction are also potential concerns in the postoperative setting, pneumonia specifically is a direct complication related to the respiratory system due to the nature of thoracic surgery. The surgical manipulation of the lungs, along with factors like pain and diminished mobility, emphasizes the need to focus on respiratory complications such as pneumonia in these patients.