A patient is unable to take a deep breath and doesn't want to get out of bed because his chest tube is causing discomfort. To increase patient compliance with ambulation and deep breathing, the nurse should:
A) Administer pain medication before having the patient deep breathe, cough, or get out of bed.
B) Tell the patient the importance of lung expansion.
C) Arrange a care schedule to provide rest periods.
D) Teach the patient how to use an incentive spirometer.
Ans: A
Feedback: Administering pain medication and waiting for its effect before any activity will increase patient compliance. Explaining the purpose of the intended treatment is important but won't decrease discomfort of the chest tube. Providing rest periods is essential, but won't relieve the patient's discomfort. Incentive spirometry provides measurement of deep-breathing ability, prevents atelectasis, and is a visual progress chart for the patient. Teaching the patient about incentive spirometry won't alleviate his discomfort.
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