A nurse is assisting a postoperative client with deep-breathing exercises. Which of the following is an accurate step for this procedure?
A) Place the client in prone position, with the neck and shoulders supported.
B) Ask the client to place the hands over the stomach, so he or she can feel the chest rise as the lungs expand.
C) Ask the client to exhale rapidly and completely, and inhale through the nose rapidly and completely.
D) Ask the client to hold his or her breath for three to five seconds and mentally count "one, one thousand, two, one thousand" and so forth.
Ans: D
The nurse should place the client in semi-Fowler's position, with the neck and shoulders supported, and ask the client to place the hands over the rib cage, so he or she can feel the chest rise as the lungs expand. Then, ask the patient to exhale gently and completely, inhale through the nose gently and completely, hold his or her breath for three to five seconds, and mentally count "one, one thousand, two, one thousand" etc., then exhale as completely as possible through the mouth with lips pursed (as if whistling).
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