Which assessment finding requires an immediate intervention by the nurse for the patient after surgery for the treatment of gastric cancer?

A. While pain is expected after any surgery, the focus of preoperative teaching should be on immediate post-operative expectations such as the presence of a chest tube, which is more critical for the nurse to prepare the client for. Pain management will be addressed postoperatively.
B. After a lobectomy, a chest tube is commonly placed to help drain excess air, fluid, or blood from the pleural space and prevent pneumothorax or other complications. This is a key part of the post-operative care for lung surgery.
C. Pulmonary function tests may be done before surgery to assess lung capacity and function, but they are not typically expected immediately after a lobectomy unless specified by the physician.
D. A lobectomy involves the removal of a portion of the lung, and the incision is usually made between the ribs, not through the sternum. The incision is generally intercostal, meaning it’s made between the ribs, not through the chest bone.

A. Anorexia is a common symptom after surgery and may be due to the stress of surgery, anesthesia, or the body's adjustment to changes in digestion. While it requires monitoring, it is not an immediate concern unless it worsens or is accompanied by other signs of complications.
B. Mild to moderate pain is expected after surgery, especially following major procedures like gastric cancer surgery. Pain management is important, but it is not usually an immediate concern unless it is severe, unmanageable, or worsens suddenly.
C. Excessive sweating (diaphoresis) after surgery could indicate a serious complication, such as hypovolemic shock, infection, or a cardiovascular event. It is critical for the nurse to assess for other signs, such as low blood pressure, rapid heart rate, or fever, and take immediate action.
D. Nausea can occur after surgery and is a common side effect from anesthesia, pain medications, or the digestive system adjusting. While it requires management, it is typically not as urgent as diaphoresis, unless it is persistent or associated with other concerning symptoms like vomiting or dehydration.