During postoperative assessment, what finding would indicate a potential respiratory issue?

The presence of coarse and wet breath sounds during a postoperative assessment is indicative of potential respiratory issues. These abnormal breath sounds can signify conditions such as fluid accumulation in the airways, which may result from factors like atelectasis, pulmonary edema, or the presence of secretions that have not been cleared adequately. This is particularly concerning in postoperative patients, who are at risk for respiratory complications due to factors such as anesthesia, immobility, and pain that can inhibit effective coughing and deep breathing.

In contrast, an oxygen saturation level of 95% on room air is generally considered acceptable and does not necessarily indicate a respiratory issue. A soft, flexible abdomen suggests that there may not be significant complications related to the surgical site, such as distension or rigidity. A heart rate of 72 bpm falls within the normal resting range for adults and does not point to respiratory distress. Each of these alternatives reflects stable conditions that are not alarming in the context of a postoperative assessment.