A nurse is reinforcing teaching with a client who is scheduled for abdominal surgery about coughing and deep breathing. Which of the following statements should the nurse make?
"Inhale through your mouth when deep breathing."
"Cough and deep breath every 4 hours."
"Lie supine to cough and deep breath."
"Splint your incision with a pillow when coughing."
The Correct Answer is D
A. Inhale through your mouth when deep breathing is incorrect. The client should be instructed to inhale deeply through the nose and exhale through the mouth, which is more effective for deep breathing and lung expansion.
B. Cough and deep breath every 4 hours is not frequent enough. The client should be encouraged to cough and deep breathe every 1-2 hours to prevent atelectasis and promote lung expansion.
C. Lie supine to cough and deep breath is incorrect. The client should be in an upright or semi-Fowler's position to optimize lung expansion and reduce strain on the incision when coughing.
D. Splint your incision with a pillow when coughing is the correct response. Splinting the incision with a pillow helps reduce pain and provides support to the surgical site while coughing, which can be painful after abdominal surgery.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Dehydration — Vomiting causes the loss of fluids and electrolytes, which increases the risk of dehydration. The body loses water, sodium, and potassium, leading to dehydration, which is a common complication of vomiting.
B. Urinary frequency — Urinary frequency is not typically associated with vomiting. In fact, dehydration could result in decreased urine output, not increased frequency.
C. Peripheral edema — Peripheral edema is usually related to fluid retention, which is the opposite of dehydration. Vomiting typically does not lead to edema.
D. Diarrhea — Diarrhea is a separate gastrointestinal issue, typically caused by infections or gastrointestinal irritation, not by vomiting.
Correct Answer is ["D","E"]
Explanation
A. Bradycardia is not typically a sign of infection. Infections usually lead to tachycardia (increased heart rate) rather than bradycardia.
B. An increase in platelets An increase in the platelet count can reflect malignancies, not infection.
C. An increase in RBCs is not typically associated with infection. Infection generally does not increase the number of red blood cells but may lead to changes in white blood cell counts.
D. An increase in neutrophils is a common response to bacterial infection. Neutrophils are white blood cells that increase in number to fight off infections.
E. Localized edema is often present in areas of infection due to inflammation and fluid accumulation in response to infection and tissue damage.
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