What should the therapist consider if a post-operative patient's SpO2 is 94% on room air with respiratory distress?

In the context of a post-operative patient exhibiting respiratory distress and an SpO2 level of 94% on room air, assessing for atelectasis is a critical consideration. Atelectasis, or the collapse of lung tissue, is a common complication following surgery due to factors such as shallow breathing and pain that can inhibit full lung expansion. Recognizing signs of atelectasis is essential, as it can lead to hypoxemia and further respiratory distress, which can explain the patient's low oxygen saturation and breathing difficulties.

Identifying atelectasis would involve evaluating the patient's breathing patterns, auscultating lung sounds for abnormal findings, and monitoring for any other symptoms like decreased breath sounds or dullness to percussion over areas of the lung. Early recognition and intervention can prevent worsening oxygenation and improve patient outcomes, making this assessment a priority in managing post-operative respiratory distress.

While other options may be relevant, they do not address the immediate need to investigate potential reversible causes of the patient’s respiratory distress as effectively as assessing for atelectasis does. For example, switching to high-flow oxygen therapy or ordering a chest X-ray might be appropriate subsequent actions, but they do not directly address the underlying issue concerning lung function. Deep breathing exercises may aid in prevention or resolution