A nurse is developing a plan of care for a client who is postoperative. Which of the following interventions should the nurse include in the plan to prevent pulmonary complications?

Administer an expectorant

Perform range-of-motion exercises

Place suction equipment at the bedside

Encourage the use of an incentive spirometer

Answer and Explanation

The Correct Answer is D

A. Administering an expectorant is not primarily aimed at preventing pulmonary complications but rather at helping to clear mucus. While this can be part of respiratory care, it does not address the prevention of complications like atelectasis or pneumonia.

B. Performing range-of-motion exercises is important for overall mobility and prevention of deep vein thrombosis but does not specifically address the prevention of pulmonary complications.

C. Placing suction equipment at the bedside is useful for managing secretions but does not directly prevent pulmonary complications. It is a reactive measure rather than preventive.

D. Encouraging the use of an incentive spirometer is an effective method to prevent pulmonary complications such as atelectasis and pneumonia. It helps improve lung function by promoting deep breathing and expanding the alveoli.

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Correct Answer is C

Explanation

A. Question-and-answer: This strategy involves the nurse asking questions to assess the client's understanding and provide information, but it does not involve the client performing the skill.
B. Role-play: Role-play involves the client acting out scenarios to practice skills, but this is not the method being described where the client is simply asked to perform a skill.
C. Return demonstration: This strategy involves the client performing a skill or procedure after being shown how to do it, allowing the nurse to assess the client's competence in the skill. This is the method being described in the scenario.
D. Discussion: Discussion involves talking through concepts or information but does not include the client actively performing a skill.

A. Regular insulin B. NPH insulin C. Insulin detemir D. Insulin glargine

Correct Answer is A

Explanation

A. Regular insulin is used in the treatment of diabetic ketoacidosis (DKA) due to its rapid onset and ability to lower blood glucose levels quickly. It is administered intravenously for immediate effect.
B. NPH insulin is an intermediate-acting insulin and is not appropriate for the rapid correction needed in DKA.
C. Insulin detemir is a long-acting insulin used for basal insulin control, not suitable for acute DKA treatment.
D. Insulin glargine is a long-acting insulin, which would not be used in the acute setting of DKA where rapid control of blood glucose is required.

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A nurse is developing a plan of care for a client who is postoperative. Which of the following interventions should the nurse include in the plan to prevent pulmonary complications?

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Naxlex Comprehensive Predictor Exams

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Explanation

Correct Answer is A

Explanation

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