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 C
Explanation
Choice A reason: Atropine is used to treat bradycardia and is not an antidote for warfarin overdose.
Choice B reason: Protamine is used to reverse the effects of heparin, not warfarin.
Choice C reason: Vitamin K is the antidote for warfarin overdose as it helps in the synthesis of clotting factors that warfarin inhibits.
Choice D reason: Epinephrine is used for severe allergic reactions and cardiac arrest, not as an antidote for warfarin overdose.
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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