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 D
Explanation
A. BUN (blood urea nitrogen) is a marker for kidney function and is not directly indicative of infection. An elevated BUN could suggest dehydration or kidney dysfunction but does not specifically point to an infection.
B. Potassium levels are unrelated to infections in the context of a pressure ulcer. Changes in potassium levels are more commonly linked to kidney function, electrolyte imbalances, or medications.
C. RBC (red blood cell) count measures the number of red blood cells and is primarily used to assess anemia or blood loss. An elevated RBC count is not an indicator of infection.
D. WBC (white blood cell) count is a key indicator of infection. An elevated WBC count, particularly neutrophils, suggests the body is responding to an infection, which could be due to the pressure ulcer becoming infected.
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.
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