A nurse is caring for a client who is 16 hr postoperative and is experiencing abdominal gas pains. Which of the following actions should the nurse take?
Encourage the client to use an incentive spirometer.
Assist the client with ambulation.
Provide the client with low-fiber food.
Administer pain medication to the client.
The Correct Answer is B
A. Using an incentive spirometer is important for improving lung function and preventing atelectasis, but it does not directly address abdominal gas pains.
B. Assisting the client with ambulation is the best action to alleviate abdominal gas pains. Walking helps stimulate peristalsis and can promote the passage of gas, reducing discomfort.
C. Low-fiber food is not recommended for managing abdominal gas pains postoperatively. In fact, high-fiber foods can help prevent constipation and promote bowel movement, which is beneficial for relieving gas.
D. Administering pain medication may be appropriate if the client is in significant pain, but addressing the underlying cause of the pain (gas) by encouraging ambulation is more effective for long-term relief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Exhaling slowly through pursed lips is a technique often used in conditions like chronic obstructive pulmonary disease (COPD) to prevent air trapping, but it is not a required step when using an incentive spirometer. The primary focus should be on deep inhalation to expand the lungs fully.
B. Positioning the mouthpiece 2.5 cm (1 in) from the mouth is incorrect. The mouthpiece should be placed securely in the mouth, ensuring a tight seal to create the necessary pressure for the spirometer to function properly.
C. Holding the breath for 3 to 5 seconds before exhaling is the correct instruction. This pause helps to allow the lungs to expand fully and ensures maximum inhalation, which is the goal of using the incentive spirometer.
D. Placing hands on the upper abdomen during inhalation is not necessary for using an incentive spirometer. The focus should be on deep, slow inhalations, and while some people may naturally place hands on their abdomen to help monitor their breathing, it is not a required step in the process.
Correct Answer is A
Explanation
A. A decrease in blood pressure is the correct finding that indicates telmisartan has been effective. Telmisartan is an angiotensin II receptor blocker (ARB) used primarily to treat hypertension, and its effectiveness is typically measured by a reduction in blood pressure.
B. A respiratory rate of 16/min is within the normal range for adults and does not indicate the effectiveness of telmisartan, as the medication primarily affects blood pressure and not respiratory function.
C. A blood glucose of 110 mg/dL is within the normal range and does not directly reflect the effectiveness of telmisartan. While ARBs like telmisartan may have some effect on glucose metabolism, blood glucose levels are not the primary indicator of its effectiveness.
D. An increase in urinary output is not directly related to the effectiveness of telmisartan. While ARBs can have some mild diuretic effects, the primary expected outcome is a reduction in blood pressure, not an increase in urine output.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.