Prior to surgery, the nurse instructed the patient on exercises that should be done prior to and after surgery. The patient is currently recovering from surgery and is experiencing a deep vein thrombosis
Which preoperative exercise instruction was not adequate for this patient? 1. Leg exercises
2. Deep breathing and coughing
3. Use of incentive spirometry
4. Splinting when coughing
1
Rationale 1: Leg exercises reduce the risk of the complication deep vein thrombosis.
Rationale 2: Deep breathing and coughing are helpful to prevent complications of pneumonia and atelectasis.
Rationale 3: Incentive spirometry is helpful to prevent complications of pneumonia and atelectasis.
Rationale 4: Splinting when coughing is taught so that thoracic and abdominal incisions are protected from the increase in intra-abdominal pressure that occurs with coughing.
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