The nurse is caring for a client who has just undergone surgery for oral cancer. What advice does the nurse give the client to assist in maintaining the airway?
a. "Limit your fluids to 3 cups of water a day."
b. "Take deep breaths, hold, then cough to mobilize any secretions."
c. "Lying flat in bed will be more comforta-ble for breathing."
d. "Usually suctioning is not needed after oral surgery."
B
Maintaining an airway after oral surgery is a priority. The client must be taught to deep breathe and mobilize the secretions by coughing effectively. The other responses are incorrect. Fluids should be increased, a semi-Fowler's or high Fowler's position should be maintained, and the client should be taught how to suction the oral cavity.
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