The nurse instructs the client about postoperative coughing and deep breathing exercises. Which does the nurse use to engage the client in prevention of pneumonia and atelectasis?
1. Begin coughing and deep breathing when the client is ready.
2. Take a deep breath, hold it for 10 seconds, and exhale slowly.
3. Hold a pillow over the incision while coughing and breathing.
4. Begin coughing and deep breathing when client is wide awake.
3
3. The nurse engages the client in postoperative coughing and deep breathing by in-structing the client to splint the incision with a pillow. By holding the incision, the client stabilizes the wounds edges and puts less stress on the incision. The nurse ef-fectively combines this strategy with adequate pain management and explanations about preventing pneumonia and atelectasis to achieve client cooperation (and often client enthusiasm).
1 and 4. The nurse plans client care to prevent postoperative complications, and the duty the nurse owes to the client is implementing the nursing care; the nurse cannot allow the client to decide when and if the client coughs and deep breathes. The pre-ventive strategies lower the risk of postoperative complications and are too important to relinquish control.
2. Simply providing client instructions to breathe is unlikely to engage the client in coughing and deep breathing because it is a relatively unattractive option, offering little more than client discomfort.
You might also like to view...
It is important for the nurse to evaluate the efficacy of what parameter when evaluating the drug therapy of a patient?
A) Appropriateness of drug dosages B) Compliance C) Caregivers' knowledge level D) Nursing interventions
A patient is scheduled to have an electronystagmography as part of a diagnostic workup for Ménière's disease. What question is it most important for the nurse to ask the patient in preparation for this test?
A) "Have you ever experienced claustrophobia or feelings of anxiety while in enclosed spaces?" B) "Do you currently take sedatives, tranquilizers, or antihistamines on a regular basis?" C) "Do you have a history of falls or problems with loss of balance?" D) "Do you have a history of either high or low blood pressure?"
A female patient who begins taking spironolactone (Aldactone) as an adjunct to furosemide (Lasix) complains that her voice is deepening. What will the nurse do?
a. Contact the provider to obtain an order for a complete blood count (CBC) and liver function tests. b. Explain that this drug binds with receptors for steroid hormones, causing this effect. c. Report this side effect to the provider and request another medication for this patient. d. Teach the patient to report any associated cough, which may indicate a more severe side effect.
Immunosuppressed clients may develop serious __________ as a result of infection with a protozoan called Cryptosporidium
Fill in the blank(s) with correct word