The nurse is caring for a client who had surgery a day ago. Which observation indicates that the client was physically prepared for the procedure?
1. Does leg exercises 3 times a day
2. Rates pain as 5 on a scale from 0 to 10
3. Permits staff to reposition in bed every 2 to 4 hours
4. Deep breathes and coughs every 2 hours while awake
4
Rationale 1: Leg exercises should be done every hour while awake.
Rationale 2: Pain level does not determine if the client was prepared physically for the surgery.
Rationale 3: The client should assist with moving in bed.
Rationale 4: Deep breathing exercises should be done three to four times, at least every 2 hr when awake.
Global Rationale: Deep breathing exercises should be done three to four times, at least every 2 hr when awake. Leg exercises should be done every hour while awake. Pain level does not determine if the client was prepared physically for the surgery. The client should assist with moving in bed.
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