The nurse is assessing a client after bariatric surgery. The client complains of chest pain and shortness of breath. What is the priority nursing Intervention at this time?

Sit the client up and provide supplemental oxygen

Contact the physician and obtain an arterial blood gas

Explain that this is an expected finding after surgery

Encourage the use of the incentive spirometer

Answer and Explanation

The Correct Answer is A

A. Sit the client up and provide supplemental oxygen is the correct priority intervention. Chest pain and shortness of breath can be indicative of pulmonary embolism or other respiratory complications, which require immediate attention. Sitting the client up helps improve respiratory mechanics, and providing supplemental oxygen can support oxygenation while further assessments are conducted.
B. While contacting the physician and obtaining an arterial blood gas may be necessary to assess respiratory status and oxygenation, it is not the immediate priority. The client's symptoms require immediate intervention to ensure adequate oxygenation and prevent further deterioration.
C. Chest pain and shortness of breath are not typically expected findings after bariatric surgery and could indicate serious complications. It is essential not to dismiss the client's symptoms but to take them seriously and initiate appropriate interventions.
D. While the use of an incentive spirometer is important for preventing respiratory complications after surgery, it is not the priority intervention in this situation. The client's current symptoms require immediate attention to address potential respiratory distress or other serious complications.

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Correct Answer is ["A","B","C"]

Explanation

A. Proper use of prescribed oxygen in the home: This is a crucial aspect of care for a client with emphysema. Oxygen therapy may be prescribed to help manage symptoms and improve oxygenation. Proper use of prescribed oxygen equipment at home, including understanding flow rates, wearing oxygen as prescribed, and ensuring adequate oxygen saturation, is essential for the client's safety and well-being.
B. Smoking cessation is paramount for individuals diagnosed with emphysema. Smoking is the primary cause of emphysema, and continuing to smoke can exacerbate symptoms, accelerate disease progression, and decrease the effectiveness of treatment.
C. Regular exercise is beneficial for individuals with emphysema as it can help improve cardiovascular health, strengthen respiratory muscles, enhance endurance, and improve overall quality of life. However, exercise should be tailored to the individual's abilities and limitations.
D. High carbohydrate, low protein diet is not appropriate for individuals with emphysema. In fact, a high carbohydrate, low protein diet may contribute to weight gain and exacerbate respiratory symptoms.
E. While individuals with emphysema may need to take precautions to avoid exposure to respiratory infections, such as practicing good hand hygiene and avoiding close contact with individuals who are sick, there is no need to avoid playing with grandchildren altogether.

A. will urinate before and after sexual intercourse." B. will empty my bladder every 3 to 4 hours during the day." C. can use vaginal sprays and douches to reduce bacteria." D. will wipe from front to back after I urinate."

Correct Answer is C

Explanation

A. Emptying the bladder before and after sexual intercourse can help flush out bacteria that may have entered the urethra during sexual activity, reducing the risk of UTIs. Therefore, this statement indicates effective understanding of preventive measures.
B. Regularly emptying the bladder helps prevent the buildup of bacteria in the urinary tract, reducing the risk of UTIs. Therefore, this statement indicates effective understanding of preventive measures.
C. Using vaginal sprays and douches can disrupt the natural balance of bacteria in the vagina and increase the risk of UTIs and other vaginal infections. Therefore, this statement indicates a misunderstanding of preventive measures and could potentially contribute to an increased risk of UTIs.
D. Wiping from front to back after urination helps prevent the spread of bacteria from the anal area to the urethra, reducing the risk of UTIs. Therefore, this statement indicates effective understanding of preventive measures.

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The nurse is assessing a client after bariatric surgery. The client complains of chest pain and shortness of breath. What is the priority nursing Intervention at this time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client recently diagnosed with emphysema. What health maintenance Information would the nurse teach the client? (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","C"]

Explanation

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Correct Answer is C

Explanation

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