The nurse is caring for a preschool-age child who survived near drowning. Which interventions should the nurse plan to promote optimum respiratory functioning for this patient? (Select all that apply.)
A) Turn and reposition every 2 hours.
B) Administer antibiotics as prescribed.
C) Auscultate lung sounds every 2 to 4 hours.
D) Monitor cardiac rhythm and blood pressure.
E) Encourage deep breathing and incentive spirometry every hour.
A, B, C, E
Feedback:
After a near drowning, the child should be turned every 2 hours. The child is usually prescribed prophylactic antibiotic therapy to prevent pneumonia. Lung sounds should be auscultated frequently for adventitious sounds. Deep breathing and incentive spirometry should be encouraged every hour help to aerate the lungs fully and prevent the accumulation of fluid, which promotes infection. Monitoring cardiac rhythm and blood pressure are not interventions specifically for respiratory functioning.
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