The nurse is caring for a patient during the first postoperative day. Which goal works to prevent atelectasis and is most appropriate for the nursing care plan?

a. Patient will turn, cough, and deep-breathe every 4 hours.
b. Patient will "huff-cough" every 2 hours.
c. Patient will use the incentive spirometer twice a day.
d. Patient will resume diet as soon as possi-ble.


B
Bi-hourly coughing will help prevent atelectasis. The patient should turn, cough, and deep-breathe every 2 hours, and the incentive spirometer should ideally be used every hour. Re-suming diet does not prevent atelectasis, and as soon as possible is not a measurable amount.

Nursing

You might also like to view...

A community health nurse has scheduled a hypertension clinic in a local shopping mall in which shoppers have the opportunity to have their blood pressure measured and learn about hypertension

This nursing activity would be an example of which type of prevention activity? A) Tertiary prevention B) Secondary prevention C) Primary prevention D) Disease prevention

Nursing

A patient with pancreatitis is NPO. The patient asks the nurse why he is unable to have anything by mouth. Which of the following is the best response?

a. "Diagnostic tests depend on you not eating anything." b. "The pancreas is stimulated whenever you eat or drink, and causes pain." c. "Eating causes the need for a bowel movement, which excretes your medication too rapidly." d. "Resting your GI tract will cure your pancreatitis."

Nursing

The practitioner changes the medications for the child with asthma to salmeterol (Serevent). The mother asks the nurse what this drug will do

The nurse explains that salmeterol (Serevent) is used to treat asthma because the drug produces which characteristic? 1. Decreases inflammation 2. Decreases mucous production 3. Controls allergic rhinitis 4. Dilates the bronchioles

Nursing

When caring for a client who has received recombinant tissue plasminogen activator (t-PA), for a large deep vein thrombosis (DVT), the nurse would be most concerned if the client developed which of these?

A. Small amount of blood at the IV insertion site B. Heavy menstrual bleeding C. +1 pitting edema of the affected extremity D. Client stating that the year is 1967

Nursing