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 D
Explanation
Choice A reason: While painful and red-tinged urination is a concern, it is not directly related to the intravenous pyelogram procedure.
Choice B reason: The end of the menstrual period is not relevant to the intravenous pyelogram procedure.
Choice C reason: Drinking fluids is generally encouraged but does not need to be reported unless it is restricted before the procedure.
Choice D reason: The client's allergy to shellfish is important to report because the contrast dye used in an intravenous pyelogram may contain iodine, which can cause a reaction in people with shellfish allergies.
Correct Answer is B
Explanation
Choice A reason: Screening for metastasis is not typically necessary for BCC because it rarely metastasizes.
Choice B reason: Minimizing sun exposure is crucial in reducing the risk for future BCC, as UV radiation is a significant risk factor.
Choice C reason: Watchful waiting is not a standard treatment plan for BCC; treatment usually involves removal of the lesion.
Choice D reason: Low-dose systemic chemotherapy is generally not used to treat BCC; local treatments such as surgery or topical medications are preferred.
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