A nurse is providing care for a patient after abdominal surgery. To help prevent respiratory complications, the plan of care should include which of the following? Select all that apply
1. Turning the patient every 4 to 6 hours
2. Encouraging the use of the incentive spirometer
3. Encouraging oral intake
4. Dressing changes every shift
5. Encouraging the patient to hold a pillow against the incision while taking deep breaths and coughing
ANS: 2, 3, 5
You might also like to view...
The nurse explains that because it is a reliable and predictable indicator of the body's level of infection or recovery the _____________________ is a common diagnostic tool
a. Hemoglobin b. Hematocrit c. Mean cell volume (MCV) d. Differential
Which of the following questions is least appropriate to ask when taking a medication history?
a. use of over the counter medications b. drug allergies c. home remedies used d. all of the above are appropriate
An older patient is concerned that many friends are having joint replacements and wants to know what can be done to prevent having to have one as well. Which modifiable risk factor should the nurse suggest the patient focus on at this time?
1. Physical inactivity 2. Cigarette smoking 3. Alcohol consumption 4. Body mass index (BMI)
The registered nurse has delegated the task of ambulating a patient who has a history of unexpected falls to two nursing assistants
The patient appears to ambulate without assistance, but must be ambulated with two assistants in case of another unexpected fall. What is the most important aspect of delegating this task? 1. The patient is comfortable walking with the aides. 2. The patient understands the need for assistance. 3. The aides understand the importance of walking with the patient. 4. The aides understand the patient is to be ambulated twice daily.