You are caring for a patient who underwent major abdominal surgery 24 hours ago. The 72-year-old male patient is weak and lethargic because of large doses of medication for pain control. After noting audible gurgling on inspiration and expiration, you complete a respiratory assessment. Which assessment parameters indicate the need for oral suction? (Select all that apply.)
A) Unusual restlessness.
C) Gurgling and adventitious lung sounds.
D) Evidence of emesis in the mouth.
E) Persistent coughing.
F) Persistent complaints of pain.
G) Weakness and lethargy accompanied by drooling.
A, B, C, D, E, G
The following signs indicate the need for oropharyngeal suctioning: (1) restlessness, especially if it is new or unusual for your patient; (2) obvious, excessive oral secretions as evidenced by drooling and/or gagging; (3) gurgling and/or audible crackles and wheezes that occur on inspiration and/or expiration; (4) evidence of gastric contents and/or emesis in the mouth; (5) persistent coughing that fails to clear the upper airway; and (6) weakness and lethargy accompanied by drooling and gagging. Persistent complaints of pain are more likely related to the surgery.