A nurse is developing a plan of care for an 80-year-old client who is postoperative. This client has a 38 pack-year smoking history. Which of the following interventions should the nurse include in the plan to prevent pulmonary complications?
Place suction equipment at the bedside.
Perform range of motion (ROM) exercises.
Administer an expectorant.
Encourage the use of incentive spirometry.
The Correct Answer is D
Choice A reason: Placing suction equipment at the bedside is a preparatory measure but not a preventive intervention for pulmonary complications.
Choice B reason: Performing ROM exercises is beneficial for overall mobility but does not directly prevent pulmonary complications.
Choice C reason: Administering an expectorant may help clear secretions but is not the primary preventive measure for pulmonary complications.
Choice D reason: Encouraging the use of incentive spirometry is a proven intervention to prevent pulmonary complications by promoting lung expansion and preventing atelectasis, especially in patients with a history of smoking.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Enhancing the formation of granulation tissue is not the immediate expected outcome of an escharotomy.
Choice B reason: Ensuring brisk bleeding is not the goal; minimal bleeding is expected, and it should be controlled to maintain fluid volume status.
Choice C reason: Ensuring the return of distal pulses is the expected outcome of an escharotomy, as it relieves pressure and restores circulation to the affected limbs.
Choice D reason: Decreasing edema formation is a benefit of the procedure but not the primary expected outcome.
Correct Answer is A
Explanation
Choice A reason : Smoking tobacco is the most significant risk factor for developing emphysema. It damages the air sacs in the lungs and leads to the characteristic symptoms of emphysema.
Choice B reason : While pollution can contribute to respiratory problems, it is not the most common risk factor for emphysema compared to smoking tobacco.
Choice C reason : Age between 20 to 30 years is not a risk factor for emphysema. Emphysema typically develops after many years of smoking, often in older adults.
Choice D reason : Asthma is a different respiratory condition and is not a risk factor for emphysema. However, individuals with asthma who smoke may have an increased risk of developing COPD, which includes emphysema.
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