What priority action should a nurse take for a patient post-lobotomy with a chest tube in place?

Encouraging coughing and deep breathing is critical for a patient who has just undergone a lobotomy and has a chest tube in place. This action is vital in helping to expand the lungs, promote adequate ventilation, and prevent complications such as atelectasis (partial collapse of the lung) and pneumonia. After a lobotomy, the patient may have reduced lung capacity and potential fluid accumulation, so actively engaging the patient in deep breathing exercises aids in maintaining lung health and optimal oxygenation.

While monitoring vital signs, restricting fluid intake, and assisting with ambulation are important nursing responsibilities, they are not as immediate or essential as promoting effective respiratory function in this specific scenario. Coughing and deep breathing exercises are crucial for maintaining airway patency and ensuring proper lung expansion, especially post-surgery when respiratory complications are a concern.