A nurse is reinforcing teaching with a client who is preoperative following abdominal surgery about deep breathing and coughing exercises. Which of the following client statements should indicate to the nurse an understanding of the instructions?

"I start to use the incentive spirometer when I can get out of bed."

"I breathe deeply and cough every 4 hours."

"I splint my incision with a pillow to cough."

"I lie flat in bed to cough and deep breathe."

Answer and Explanation

The Correct Answer is C

Choice A reason: Using the incentive spirometer is important, but it is not specifically related to deep breathing and coughing exercises.

Choice B reason: Breathing deeply and coughing every 4 hours is part of postoperative care, but it does not indicate understanding of the technique to protect the incision.

Choice C reason: Splinting the incision with a pillow while coughing is a recommended technique to support the incision and reduce pain during coughing, indicating an understanding of the instructions.

Choice D reason: Lying flat is not recommended for deep breathing and coughing exercises as it can inhibit lung expansion and is not conducive to effective coughing.

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Correct Answer is D

Explanation

Choice A reason: Legs in adduction can increase the risk of dislocation after hip replacement surgery.

Choice B reason: Flexing the hip more than 90 degrees can also increase the risk of dislocation.

Choice C reason: Internal rotation of the leg can lead to dislocation of the new hip joint.

Choice D reason: Maintaining the legs in abduction helps to stabilize the hip and prevent dislocation.

A. Surgical site infection B. Hypercapnia C. Malignant hyperthermia D. Hypertensive crisis

Correct Answer is C

Explanation

Choice A reason: Surgical site infection is an infection that occurs after surgery in the part of the body where the surgery took place.

Choice B reason: Hypercapnia is the presence of higher-than-normal levels of carbon dioxide in the blood.

Choice C reason: Malignant hyperthermia is a life-threatening pharmacogenetic reaction to certain general anesthesia, characterized by hypermetabolism resulting in high body temperature, rigid muscles, and rapid heart rate.

Choice D reason: Hypertensive crisis is a severe elevation in blood pressure, often requiring immediate medical attention.

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A nurse is reinforcing teaching with a client who is preoperative following abdominal surgery about deep breathing and coughing exercises. Which of the following client statements should indicate to the nurse an understanding of the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A resident returns to the long-term care center after a right total hip replacement. The nurse should reinforce teaching for maintaining which of the following postoperative leg positions?

Correct Answer is D

Explanation

During general surgery, a nurse observes tachycardia, muscle rigidity, respiratory acidosis, and hyperthermia in a patient. Which complication of surgery does the nurse suspect?

Correct Answer is C

Explanation

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