The client has recently had a mitral valve replacement. To prevent excess serosanguineous fluid buildup, which of the following does the nurse anticipate will be included in care?
a. Increased oxygen therapy
b. Frequent chest physiotherapy
c. Incentive spirometry on a regularly scheduled basis
d. Chest tube placement in the thoracic cavity
D
Chest tubes are inserted to remove air and fluids from the pleural space, to prevent air or fluid from re-entering the pleural space, and to re-establish normal intrapleural and intrapulmonic pressures. The client who has had mitral valve replacement surgery (chest surgery) would be ex-pected to have a chest tube postoperatively to prevent excess fluid buildup in the pleural space.
Increased oxygen will not prevent excess fluid buildup.
Frequent chest physiotherapy may help facilitate removal of secretions but will not prevent ex-cess fluid buildup.
Incentive spirometry is used to promote deep breathing and to prevent or treat atelectasis in the postoperative client. It will not prevent excess fluid buildup.
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