What should the nurse do when a client with lung cancer after a pneumonectomy is found lying on the left side?

• A. Reposition the client on the right side and inform client to avoid lying on the left side.
• B. Raise the head of the bed and continue to monitor client.
• C. Apply oxygen and suction the client.
• D. Perform chest physiotherapy and apply oxygen.

Answer: (A)

In this scenario, when a client with lung cancer has undergone a pneumonectomy (removal of one lung) and is found lying on the left side, it is crucial for the nurse to take action that prevents complications associated with lying on the side of the surgical site. Repositioning the client onto the right side is advisable because lying on the surgical side could hinder breathing, cause discomfort, and increase the risk of complications such as atelectasis (collapse of the remaining lung) or fluid accumulation.

Telling the client to avoid lying on the left side reinforces safe practices and supports lung function. After a pneumonectomy, the remaining lung must work harder to provide adequate oxygenation, and any position that can restrict airflow through that lung should be avoided.

While other options may include monitoring or providing oxygen, repositioning is a direct action that addresses a potentially harmful situation immediately. Monitoring is important, but the priority is ensuring that the patient is in a safe position that promotes optimal respiratory function.