The nurse is caring for an older adult client who is admitted to the surgical unit following a partial gastrectomy. In addition to frequent position changes, which postoperative intervention is most beneficial for the nurse to perform in preventing respiratory complications?
Promote full diaphragmatic excursion by massaging the back.
Note areas of atelectasis on the daily chest x-rays.
Assist to a chair the day after surgery when the condition is stable.
Provide ice or oral liquids when the client passes flatus.
The Correct Answer is A
A. Promoting full diaphragmatic excursion by massaging the back helps to facilitate deep breathing and lung expansion, which is essential for preventing respiratory complications such as atelectasis and pneumonia after surgery.
B. Noting areas of atelectasis on daily chest x-rays is important for assessing respiratory status, but it is a monitoring intervention rather than a preventive intervention.
C. Assisting the client to a chair the day after surgery when the condition is stable promotes early mobility and prevents complications such as deep vein thrombosis, but it may not directly
address respiratory complications.
D. Providing ice or oral liquids when the client passes flatus may be part of the postoperative care plan, but it does not directly address respiratory complications. It's more related to bowel function and hydration status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "I can only give medical information to your child because the client is an adult.": This
response respects the client's autonomy and confidentiality as an adult and upholds legal and ethical principles regarding patient privacy.
B. "I'm sorry, but your child's medical information is none of your business.": This response is dismissive and disrespectful, violating the client's right to privacy and confidentiality.
C. "The healthcare provider will share this information with you.": While healthcare providers may share information with family members if the client consents or if it's deemed necessary for the client's care, this response does not address the legal and ethical considerations regarding patient confidentiality and autonomy.
D. "I can give you those results as soon as I get them back from the lab.": This response does not address the issue of patient confidentiality and may inadvertently disclose sensitive medical information without the client's consent.
Correct Answer is B
Explanation
A. Decreased level of consciousness: While altered mental status can occur in clients with cirrhosis, it is not directly related to recent weight gain.
B. Increased abdominal girth: Weight gain in clients with cirrhosis can be due to fluid retention, which often manifests as increased abdominal girth.
C. Increased respiratory rate: Respiratory rate is not typically directly correlated with recent weight gain in clients with cirrhosis.
D. Decreased bowel sounds: While bowel sounds may be decreased in clients with cirrhosis, they are not directly related to recent weight gain.
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