The nurse talks with Ms. Jackson about what to expect the day of surgery and during the immediate postoperative period. The nurse provides instructions regarding cough and deep breathing exercises. Ms. Jackson performs a return demonstration by breathing in deeply through her mouth and exhaling forcefully and rapidly through pursed lips. What action should the nurse implement?
a. Advise the client to avoid pursing her lips when exhaling
b. Remind the client to cough after taking 2-3 breaths
c. Demonstrate the deep breathing and coughing technique again
d. Document successful completion of the return demonstration
Answer: c. Demonstrate the deep breathing and coughing technique again
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The nurse is providing health education to an 80-year-old woman who has just been diagnosed with osteoporosis. Which of the following represents an accurate statement when teaching her about this diagnosis?
A) "Osteoporosis is usually a result of a bone injury." B) "Osteoporosis causes a risk for fractures." C) "Osteoporosis results from nonmodifiable risk factors." D) "Osteoporosis occurs only in women."
Which of the following is a state of mind, a specific place, freedom from intrusion, or control over the exposure of self or of personal information?
1. Privacy 2. Confidentiality 3. Security 4. HIPAA
Pneumonia is the most frequent cause of death after a stroke. The intervention that would be contraindicated in the acute care of a patient with a hemorrhagic CVA is to:
1. thicken liquids to ease swallowing and prevent aspiration. 2. change position every 30 to 60 minutes. 3. maintain adequate fluid intake, orally or IV. 4. encourage forceful coughing to stimulate deep breathing.
A nursing instructor asks a student at what point it is appropriate to treat hyponatremia. Which response by the student is accurate?
1. "When serum levels fall below 130 mEq/L." 2. "When serum levels fall below 140 mEq/L." 3. "When serum levels fall below 145 mEq/L." 4. "When serum levels fall below 155 mEq/L."