During preoperative preparation, the practical nurse (PN) should offer the client which explanation about why deep breathing exercises with an incentive spirometer are necessary after surgery?
Incentive spirometry is uncomfortable but necessary for your postoperative care.
Deep breathing exercises using the spirometer will help prevent postoperative complications.
Failure to keep your lungs working may result in pneumonia and death.
You will use the spirometer for the first postoperative day only.
The Correct Answer is B
A. Incentive spirometry is uncomfortable but necessary for your postoperative care:
This statement is negative and does not explain the purpose, which may discourage use.
B. Deep breathing exercises using the spirometer will help prevent postoperative complications:
Positive explanation that reinforces the importance of lung expansion and prevention of atelectasis or pneumonia.
C. Failure to keep your lungs working may result in pneumonia and death:
While partially true, this statement is fear-based and not therapeutic.
D. You will use the spirometer for the first postoperative day only:
Incentive spirometry is used for several days post-op until mobility and breathing patterns normalize.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Wear clean gloves during auscultation of a client's heart sounds, lung sounds, and bowel sounds. Gloves not required for auscultation unless contact with body fluids is anticipated.
B. Dispose of gastric residual volume obtained when aspirating a client's nasogastric tube: Standard practice unless facility policy specifies reinsertion; prevents aspiration risk.
C. Weigh mother holding infant then subtract the mother's weight to obtain the infant's weight: Not part of a focused assessment but a measurement technique.
D. Place BP cuff on thigh of a client with burns to the upper extremities: Adaptation for burn injuries but not related to general focused assessment steps.
Correct Answer is A
Explanation
A. Give 4 oz (120 mL) of apple juice:
Diaphoresis, confusion, and “not feeling right” indicate hypoglycemia. Rapid-acting carbohydrates should be given immediately if the client can swallow.
B. Administer glucagon 0.5 mg IM:
Used if the client is unconscious or unable to swallow safely.
C. Assess temperature:
Does not address the immediate risk of hypoglycemia.
D. Evaluate deep tendon reflexes:
Not relevant to urgent management of suspected hypoglycemia.
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