A client recovering from surgery asks the nurse why turning, deep breathing, and coughing exercises need to be done. How should the nurse respond?
"These exercises prevent thrombophlebitis."
"The doctor ordered the exercises."
"These exercises help prevent pneumonia."
"All surgical clients must do these exercises."
The correct answer and explanation is:
The Correct Answer is C
Turning, deep breathing, and coughing exercises are important for clients recovering from surgery as they help prevent the development of pneumonia. After surgery, clients may have difficulty taking deep breaths and coughing due to pain or discomfort. This can lead to the accumulation of mucus in the lungs, increasing the risk of pneumonia. By performing these exercises, clients can help clear their lungs and reduce their risk of developing this complication. While these exercises may also help prevent other complications such as thrombophlebitis, the primary reason for performing them is to prevent pneumonia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
The most appropriate response by the nurse would be to explain to the client that antibiotics have no effect on viruses. Upper respiratory infections, such as the common cold, are caused by viruses and therefore antibiotics would not be effective in treating the infection. It is important for the nurse to educate the client about the appropriate use of antibiotics and to address any misconceptions they may have.
Correct Answer is B
Explanation
Anxiety is a nursing diagnosis that would be appropriate for a client experiencing hypoxia. Hypoxia can cause shortness of breath and difficulty breathing, which can lead to feelings of anxiety. The other options (Hypothermia, Nausea, and Pain) are not directly related to hypoxia.
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