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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. 1 tbsp honey — Honey is a simple carbohydrate that contains glucose, which is rapidly absorbed and effective for quickly raising blood sugar levels in cases of hypoglycemia.
B. 120 mL milk — Milk is also a good option for treating hypoglycemia. It contains both lactose (a sugar) and protein, which help to raise blood glucose levels. The protein in milk helps stabilize glucose levels over a longer period, making it beneficial for mild hypoglycemia.
C. 5 hard candies — Hard candies that contain sugar (like glucose) can quickly raise blood sugar levels in a hypoglycemic event. Since they are simple sugars, they are absorbed rapidly, making them an appropriate choice for immediate intervention.
D. 240 mL regular soda — Regular soda, which contains sugar, can rapidly increase blood sugar levels. Unlike diet sodas, which lack sugar, regular soda provides the necessary glucose to treat hypoglycemia effectively.
E. 120 mL unsweetened fruit juice — While fruit juice does contain natural sugars, unsweetened fruit juice has very little to no added sugar and may not be effective for rapidly raising blood glucose. Sweetened fruit juice would be a better option, as it contains a higher amount of glucose. Thus, this would not be the best choice for immediate hypoglycemia treatment.
Correct Answer is A
Explanation
A. Facilitates the absorption of vitamins — Fats are essential for the absorption of fat-soluble vitamins (A, D, E, and K). These vitamins dissolve in fat and are absorbed into the body via the digestive system.
B. Regulates nerve cell transmission — While fats (specifically omega-3 fatty acids) play a role in brain function and cellular health, nerve cell transmission is primarily regulated by the nervous system and electrolytes, not directly by fats.
C. Builds and repairs tissue — Proteins are the primary nutrients responsible for building and repairing tissues, not fats.
D. Convert to sugar to provide energy — Carbohydrates, not fats, are primarily converted to glucose (sugar) for energy. Fats provide a concentrated source of energy, but they are metabolized into fatty acids and glycerol, not sugar.
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