A postoperative client has a nursing diagnosis of Ineffective Breathing Pattern and is fearful that movement may result in more pain. Which of the following would be most appropriate for the nurse to do? Select all that apply
A) Get the client out of bed.
B) Have the client do deep breathing.
C) Encourage the client to lie still in bed.
D) Get the client to cough every 2 hours.
E) Administer more pain medication.
Ans: A, B, D
Feedback:
The client taking an opioid may be fearful that exercise will cause more pain. To help overcome this fear, the nurse should get the client out of bed and encourage therapeutic activities, such as deep breathing, coughing, and leg exercises (when ordered). Having the client lie still in bed and giving more pain medication would be inappropriate.
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