A nurse is preparing to administer oxygen therapy to a patient who has just undergone abdominal surgery. Which of the following interventions is most important to ensure proper oxygenation?

Encourage the patient to take deep breaths and use an incentive spirometer regularly.

Set the oxygen flow rate based on the patient's subjective feeling of breathlessness.

Administer oxygen at 6 L/min through a nasal cannula without an order.

Place the patient in a Trendelenburg position to facilitate oxygen delivery.

Answer and Explanation

The Correct Answer is A

A.   Encouraging deep breaths and using an incentive spirometer can help prevent atelectasis and improve oxygenation after surgery, as it encourages lung expansion.
B.   Setting the oxygen flow rate based on subjective breathlessness is not ideal; oxygen should be administered according to established protocols and patient need.
C.   Administering oxygen without an order is not appropriate and could lead to oxygen toxicity.
D.   The Trendelenburg position is not necessary for oxygenation and could lead to increased pressure on the abdomen and respiratory distress.

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Correct Answer is D

Explanation

A. Decongestants are not directly linked to the development of peptic ulcers and should not be avoided solely for this reason.
B. Undercooked foods may increase the risk for foodborne illness but are not a significant factor in the development of peptic ulcers.
C. Hormone replacement therapy is not a primary risk factor for peptic ulcers, though it may affect other aspects of gastrointestinal health.
D. Fried foods can irritate the stomach lining and exacerbate acid reflux, which could increase the risk of peptic ulcers, so it is advisable to avoid them.

A. Perform weight bearing exercises 2 times per week. B. Increase intake of caffeinated beverages. C. Take 400 IU of vitamin D per day. D. Limit calcium intake to 600 mg per dose.

Correct Answer is A

Explanation

A. Performing weight-bearing exercises, such as walking, jogging, or strength training, helps improve bone density and prevent osteoporosis-related fractures.
B. Caffeine can increase calcium excretion in the urine and may negatively affect bone health, so it is not recommended for clients at risk for osteoporosis.
C. Taking 400 IU of vitamin D per day may be insufficient for clients at risk for osteoporosis. Most guidelines recommend at least 800-1,000 IU of vitamin D daily.
D. Limiting calcium intake to 600 mg per dose is not recommended. Calcium should be taken in doses of 500-600 mg to improve absorption and bone health.

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A nurse is preparing to administer oxygen therapy to a patient who has just undergone abdominal surgery. Which of the following interventions is most important to ensure proper oxygenation?

Nursing Test Bank

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