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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Related Questions
Correct Answer is B
Explanation
A. Phosphorus is a mineral that plays a role in bone and teeth formation, energy metabolism, and cell function. However, it is not involved in oxygen transport.
B. Iron is essential for the transport of oxygen. It is a key component of hemoglobin in red blood cells, which binds to oxygen and allows it to be transported throughout the body.
C. Magnesium is important for muscle function, nerve transmission, and energy production but is not directly involved in oxygen transport.
D. Potassium is essential for maintaining proper cell function, including nerve transmission and muscle contraction, but does not play a role in oxygen transport.
Correct Answer is C
Explanation
A. Providing more stimulation might not address the root cause of the behavior and could escalate the situation if the client becomes more agitated or confused.
B. Waiting to see if the behavior continues is not the most appropriate action, as it may delay necessary interventions. Additionally, it could increase the risk of harm to the client.
C. Calling the doctor to obtain a prescription for a restraint, if necessary, is the correct procedure. Restraints should only be used as a last resort, following proper protocols, and should always be ordered by a physician.
D. Covering the catheter so the client cannot see it might not address the underlying issue and is not an appropriate solution to managing behavior. It may also be a safety concern if it interferes with monitoring or use of the tube.
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