A nurse is caring for a patient receiving skeletal traction. Due to the patient's severe limits on mobility, the nurse has identified a risk for atelectasis or pneumonia. What intervention should the nurse provide in order to prevent these complications?
A) Perform chest physiotherapy once per shift and as needed.
B) Teach the patient to perform deep breathing and coughing exercises.
C) Administer prophylactic antibiotics as ordered.
D) Administer nebulized bronchodilators and corticosteroids as ordered.
Ans: B
Feedback:
To prevent these complications, the nurse should educate the patient about performing deep-breathing and coughing exercises to aid in fully expanding the lungs and clearing pulmonary secretions. Antibiotics, bronchodilators, and steroids are not used on a preventative basis and chest physiotherapy is unnecessary and implausible for a patient in traction.
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