A nurse is teaching a client who has flail chest about ways to prevent further respiratory complications. Which of the following statements indicates a need for further teaching?
"I should breathe deeply."
"I should cough frequently."
"I should avoid pain medications as much as possible."
"I should use an incentive spirometer regularly."
The Correct Answer is C
A. "I should breathe deeply."
Deep breathing prevents atelectasis and promotes gas exchange.
B. "I should cough frequently."
Frequent coughing helps clear secretions and prevent pneumonia.
C. "I should avoid pain medications as much as possible."
This is incorrect. Adequate pain control is essential for effective breathing and coughing. Pain medications should not be avoided without cause.
D. "I should use an incentive spirometer regularly."
Incentive spirometry is essential to prevent respiratory complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["125"]
Explanation
Calculation:
250 mL ÷ 2 hr = 125 mL/hr
Correct Answer is D
Explanation
A. Metabolic alkalosis
The pH is acidic, and HCO₃ is normal. This rules out metabolic alkalosis.
B. Metabolic acidosis
HCO₃ is normal, so metabolic acidosis is unlikely.
C. Respiratory alkalosis
Alkalosis would have pH > 7.45; this pH is acidic.
D. Respiratory acidosis
pH is low (acidic), and CO₂ is high-this is classic respiratory acidosis.
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