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 A
Explanation
Choice A reason: Consuming alcohol as a coping mechanism for stress, especially before work, is concerning and unprofessional for a healthcare provider, as it can impair judgment and performance.
Choice B reason: Seeking advice from friends before asking someone out is a common social behavior and not typically a cause for concern.
Choice C reason: Taking deep breaths to manage anxiety is a healthy coping strategy and is not a cause for concern.
Choice D reason: Studying late into the night might indicate a high level of dedication or poor time management, but it is not inherently concerning unless it leads to chronic sleep deprivation.
Correct Answer is A
Explanation
Choice A reason: This response acknowledges the client's feelings without agreeing with the delusion or challenging their reality, which can help in building trust and rapport.
Choice B reason: Asking "Why do you think you are being lied about and poisoned?" could potentially reinforce the delusion and lead the client to further justify their beliefs.
Choice C reason: Directly telling the client they are mistaken can be confrontational and may damage the therapeutic relationship.
Choice D reason: Asking "Who is lying about you and trying to poison you?" can validate the delusion and is not a therapeutic response.
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