What is the primary nursing concern for a patient experiencing new onset of shortness of breath with hypoxemia post-splenectomy?

The primary nursing concern for a patient experiencing new onset of shortness of breath with hypoxemia after a splenectomy is the alteration in gas exchange. Following a splenectomy, patients are at risk for various complications, including respiratory issues, due to changes in their immune system and possible fluid shifts.

Shortness of breath and hypoxemia indicate that the patient’s body is not getting enough oxygen, which can result from impaired gas exchange in the lungs. The primary focus should be on ensuring that oxygenation is optimized, monitoring respiratory status, and intervening to improve ventilation and perfusion. This could include administering supplemental oxygen, positioning the patient to facilitate easier breathing, and evaluating the need for further respiratory interventions.

Recognizing and addressing the alteration in gas exchange is crucial because if left unmanaged, it can lead to further complications, such as respiratory failure or increased strain on the heart. Therefore, while other concerns, such as the potential for shock or anxiety, may also be relevant, the most immediate nursing priority relates to maintaining adequate gas exchange and oxygenation for the patient.