Which of the following does the nurse implement to prevent postoperative respiratory complications for a patient? (Select all that apply)
Deep breathing and coughing
Incentive spirometry
Leg exercises
Early ambulation
Hand squeezes
Correct Answer : A,B,D
Choice A reason: Deep breathing and coughing exercises help clear the lungs and prevent atelectasis, a common postoperative respiratory complication.
Choice B reason: Incentive spirometry encourages patients to take deep breaths, which can help keep the lungs clear of mucus and prevent pneumonia.
Choice C reason: Leg exercises improve circulation and can help prevent blood clots, which can lead to pulmonary embolism, another serious respiratory complication.
Choice D reason: Early ambulation, or getting the patient moving as soon as possible after surgery, is crucial for preventing respiratory complications by promoting circulation and lung expansion.
Choice E reason: Hand squeezes are not directly related to preventing respiratory complications; they are more associated with preventing circulatory complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E","F"]
Explanation
Choice A reason: Forming new relationships easily is not typically associated with PTSD.
Choice B reason: Chemical dependency can be a coping mechanism for those with PTSD.
Choice C reason: Feelings of low self-esteem are common in individuals with PTSD.
Choice D reason: Social integration is not a symptom of PTSD; rather, individuals may struggle with social interactions.
Choice E reason: Flashbacks are a hallmark symptom of PTSD, where individuals relive the traumatic event.
Choice F reason: Irritability is a common symptom of PTSD, often due to heightened arousal and anxiety.
Correct Answer is A
Explanation
Choice A reason: Emptying the drain device every shift is important to prevent infection and accumulation of fluid, which can impede healing.
Choice B reason: Minimizing use of the affected arm is not recommended; rather, gentle exercises to promote circulation and prevent lymphedema are usually encouraged.
Choice C reason: Measuring the circumference of both arms can be part of monitoring for lymphedema, but it is not the priority in immediate post-mastectomy care.
Choice D reason: Placing the affected arm below the level of the heart is not recommended as it can increase swelling; elevation is usually advised.
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