A nurse is providing preoperative teaching about breathing exercises to a patient. Which of the following instructions should the nurse include? Select all that apply.

"Perform deep breathing every 2 hours around the clock."

"Make sure chest and shoulders move when breathing."

"Take a deep breath before each atempt to cough."

"Sit up straight before beginning coughing exercises."

Use a pillow to support the area when coughing

Answer and Explanation

Correct Answer : A,C,D,E

Choice A reason: Performing deep breathing exercises every 2 hours helps prevent postoperative complications such as pneumonia and atelectasis.

Choice B reason: While chest movement is part of breathing, the instruction is incomplete and should emphasize diaphragmatic breathing rather than shoulder movement.

Choice C reason: Taking a deep breath before coughing helps to increase the eﬀectiveness of the cough, which can clear secretions from the lungs.

Choice D reason: Sitting up straight before beginning coughing exercises helps to ensure maximum lung expansion and eﬀectiveness of the cough.

Choice E reason: Using a pillow to support the surgical area when coughing can help reduce pain and protect the incision site, making the cough more eﬀective.

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Correct Answer is B

Explanation

Choice A reason: Increased length of stay is not a direct outcome of preoperative teaching and depends on many factors.

Choice B reason: Reduced postoperative respiratory function can be a concern, and preoperative teaching aims to mitigate this risk by educating on breathing exercises and mobilization.

Choice C reason: Preoperative teaching should help manage expectations and pain control strategies, not increase postoperative pain.

Choice D reason: Preoperative teaching should aim to reduce anxiety by providing information and reassurance, not induce it.

A. Peripheral edema B. Bradycardia C. Cyanosis D. Hypotension

Correct Answer is D

Explanation

Choice A reason: Peripheral edema is typically associated with ﬂuid overload, not hypovolemia, which is a decreased volume of circulating blood in the body.

Choice B reason: Bradycardia, or a slow heart rate, is not commonly associated with hypovolemia. Tachycardia, or a rapid heart rate, may occur as the body atempts to compensate for the reduced blood volume.

Choice C reason: Cyanosis, which is a bluish discoloration of the skin due to lack of oxygen, is not a direct sign of hypovolemia.

Choice D reason: Hypotension, or low blood pressure, is a common finding in hypovolemia as there is less blood circulating through the body.

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A nurse is providing preoperative teaching about breathing exercises to a patient. Which of the following instructions should the nurse include? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with preoperative teaching for a patient. Which of the following outcomes should the nurse expect?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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