The nurse is caring for a patient during the first postoperative day. An appropriate goal to write in the nursing care plan to avoid atelectasis would be:
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. nurse will assist the patient to ambulate in the hall three times a day.
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. The nurse assisting the patient to ambulate is an intervention, not a goal.
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