A nurse is caring for a client with pneumonia and is instructing the client on coughing and deep breathing exercises. The client asks, "How often should I perform these exercises?" What is the nurse's best response?
"You should perform these exercises every hour, even through the night."
"Doing the exercises three times a day is sufficient."
"It's best to do the exercises only when you feel shortness of breath."
"You can skip these exercises; they won't make much of a difference."
The Correct Answer is A
A) Correct. Frequent coughing and deep breathing exercises are essential to prevent complications such as pneumonia-associated atelectasis and maintain lung function. Clients should be encouraged to perform these exercises hourly, including during the night.
B) Incorrect. While performing exercises three times a day may be better than not doing them at all, more frequent exercises are recommended for clients with pneumonia.
C) Incorrect. Waiting until shortness of breath occurs may not provide adequate prevention of respiratory complications.
D) Incorrect. Coughing and deep breathing exercises are beneficial for maintaining lung function and preventing complications in clients with pneumonia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. A bluish tint to the skin and lips (cyanosis) is not a normal skin tone variation and should be assessed further.
B) Correct. Central cyanosis, indicated by bluish discoloration of the skin and lips, can be a sign of oxygen deprivation and should be reported to the healthcare provider.
C) Incorrect. While providing comfort measures is important, addressing cyanosis requires a medical evaluation.
D) Incorrect. Hydration is essential, but central cyanosis is more concerning and should be evaluated by a healthcare provider.
Correct Answer is D
Explanation
A) Incorrect. Good hand hygiene and avoiding contact with others can help prevent infections but are not the primary risk factors for pneumonia.
B) Incorrect. Chronic diseases, such as diabetes and heart disease, can increase the risk of pneumonia, especially when they weaken the immune system.
C) Incorrect. Age is a risk factor for pneumonia, but being young and healthy does not eliminate the risk, and other factors also play a role.
D) Correct. Smoking, chronic lung conditions (e.g., COPD), and a weakened immune system are significant risk factors for pneumonia.
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