Multiple Choice Questions Health, Medicine, Nursing Essay

The nurse is caring for a 80-year-old female patient 24 hours after coronary artery bypass graft surgery. The patient was extubated 8 hours ago and the mediastinal chest tube was removed one hour ago. She is in bed with the head of bed elevated 45 degrees and reports pain at the chest incision and chest tube site. Lungs are clear to auscultation and diminished at bilateral bases. After administering medication for pain, what actions should the nurse take?





Lower the head of the bed and assist the patient to lie on her left side

Instruct the patient to splint the chest with a pillow and assist her with deep breathing using the ICS

Turn on the TV to distract the patient and reassess in 4 hours

Document these findings in the medical record and notify the provider



please mark the answer with the color.