Which intervention should the nurse prioritize for a patient with impaired mobility to prevent respiratory complications?
Administering oxygen therapy.
Assisting with incentive spirometry exercises.
Encouraging deep breathing and coughing techniques.
Administering prophylactic antibiotics.
The Correct Answer is C
Encouraging deep breathing and coughing techniques helps prevent respiratory complications such as atelectasis and pneumonia in patients with impaired mobility.
Incorrect choices:
a. Administering oxygen therapy may be indicated in some cases, but it does not directly address the prevention of respiratory complications associated with impaired mobility.
b. Incentive spirometry exercises are useful for promoting lung expansion and preventing atelectasis, but they are not the highest priority intervention for preventing respiratory complications.
d. Prophylactic antibiotics are not routinely administered to all patients with impaired mobility. Their use should be based on specific indications determined by the healthcare provider.
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Related Questions
Correct Answer is D
Explanation
The semi-Fowler's position with the knees slightly flexed promotes lung expansion by allowing the diaphragm to descend fully and reducing the risk of respiratory complications in immobile patients.
Incorrect choices:
a. The supine position with the head of the bed elevated may cause the diaphragm to be restricted, limiting lung expansion and potentially leading to respiratory complications.
b. The prone position is not suitable for immobile patients and may increase the risk of pressure ulcers and respiratory difficulties.
c. The lateral position with the affected side down may compromise lung expansion and increase the risk of respiratory complications in immobile patients.
Correct Answer is A
Explanation
Encouraging frequent changes in position helps prevent contractures by promoting joint mobility and preventing prolonged pressure on specific areas.
Incorrect choices:
b. Applying heat packs to stiff joints may provide temporary relief but does not address the underlying issue of immobility or prevent contractures.
c. Administering muscle relaxants is not the standard intervention for preventing contractures. The focus should be on promoting mobility and range of motion exercises.
d. Using soft restraints to immobilize the extremities is not an appropriate intervention for preventing contractures. Restraints should only be used when necessary and as a last resort, considering the patient's safety and autonomy.
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