Which nursing intervention is most important for preventing respiratory complications such as pneumonia and atelectasis in a postoperative client?
Control of anxiety and agitation
Adequate nutrition and fluids
Adequate pain control
Use of incentive spirometry
Early ambulation.
The Correct Answer is D
The correct answer is choice D) Use of incentive spirometry. Incentive spirometry is a device that helps patients take slow, deep breaths to expand their lungs and prevent respiratory complications such as pneumonia and atelectasis. Incentive spirometry also helps clear mucus and fluids from the lungs and improves ventilation.
Choice A is wrong because controlling anxiety and agitation may not directly prevent respiratory complications, although it may help patients breathe more comfortably.
Choice B is wrong because adequate nutrition and fluids are important for general health and recovery, but they do not specifically prevent respiratory complications.
Choice C is wrong because adequate pain control may help patients breathe more deeply and cough more effectively, but it is not enough to prevent respiratory complications by itself.
Choice E is wrong because early ambulation may improve blood circulation and reduce the risk of thromboembolism, but it does not directly prevent respiratory complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C) Encouraging coughing and deep breathing exercises.
This is because coughing and deep breathing exercises can help prevent atelectasis and pneumonia, which are common postoperative complications of C-section.
Coughing and deep breathing exercises also promote oxygenation and circulation.
Choice A) Administering an opioid analgesic is wrong because opioids can cause respiratory depression and sedation, which are not desirable before surgery.
Opioids can also cross the placenta and affect the fetus.
Choice B) Assessing for signs of deep vein thrombosis is wrong because this is not a priority intervention before surgery.
Deep vein thrombosis is more likely to occur after surgery due to immobility and venous stasis.
Choice D) Providing a high-carbohydrate meal is wrong because this can increase the risk of aspiration during surgery.
The client should be kept NPO (nothing by mouth) for at least 6 hours before surgery.
Correct Answer is ["A","B","C","E"]
Explanation
A. "Holding the newborn close to her chest" indicates effective bonding. Physical closeness is important for establishing a connection between the mother and newborn. This promotes emotional attachment and comfort for the baby.
B. "Making eye contact with the newborn" is a key indicator of bonding. Eye contact fosters connection and attachment and is often an early behavior seen in positive bonding.
C. "Talking to the newborn in a soft voice" also reflects positive bonding behavior. Talking to the newborn helps with emotional connection, promotes early communication, and establishes comfort for the baby.
D. "Handing the newborn to a family member when crying" does not indicate effective bonding. While it may be appropriate to ask for help, consistent delegation of newborn care can suggest a lack of emotional connection or reluctance to care for the infant.
E. "Stroking the newborn’s hair and skin" is another indicator of effective bonding. Physical touch, such as stroking, is soothing and promotes attachment between the mother and her newborn.
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