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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While bed rest may be required immediately after surgery, patients are typically encouraged to mobilize as soon as possible to prevent complications.
Choice B reason: Using a special soap the evening before surgery is a common preoperative instruction to reduce the risk of infection.
Choice C reason: A CPM machine is often used after hip replacement surgery to promote movement and prevent joint stiffness.
Choice D reason: A heating pad is generally not recommended on the operative site immediately after surgery due to the risk of burns and bleeding.
|
The correct answer is choice B. “You will use a special soap to shower with the evening before your surgery.” Choice A rationale: Remaining in bed for at least the first 24 hours is not typically recommended. Early mobilization is encouraged to prevent complications such as blood clots and to promote faster recovery. Choice B rationale: Using a special soap to shower with the evening before surgery is a common preoperative instruction. This helps reduce the risk of infection by decreasing the number of bacteria on the skin. Choice C rationale: Continuous passive motion (CPM) machines are generally used for knee replacement surgeries, not hip replacements. They help in maintaining joint mobility and preventing stiffness, but are not standard for hip surgeries. Choice D rationale: Using a heating pad on the operative site is not recommended as it can increase swelling and the risk of burns. Cold therapy is usually preferred to reduce pain and inflammation postoperatively. |
|
Correct Answer is B
Explanation
Choice A reason: Forming a routine at different times of the day does not specifically address constipation and can be confusing for the patient.
Choice B reason: Increasing daily fluid intake can help alleviate constipation by softening the stool and promoting bowel movements.
Choice C reason: Increasing daily activity can help with constipation, but it is not as immediate or effective as increasing fluid intake.
Choice D reason: Consuming a low-fiber diet is not recommended for constipation; in fact, a high-fiber diet is beneficial.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today