A nurse is caring for a patient at risk for atelectasis.

Which independent nursing measure should the nurse prioritize to prevent the development of atelectasis?

Ambulation.

Oxygen therapy.

Incentive spirometry.

Increase oral fluid intake.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Ambulation is a general measure that can help improve overall lung function by promoting deep breathing, coughing, and mobilization of secretions. However, it is not the primary measure to prevent atelectasis.
Choice B rationale
Oxygen therapy is used to treat hypoxia, which can be a result of atelectasis. However, it does not directly prevent the development of atelectasis.
Choice C rationale
Incentive spirometry is a first-line measure to prevent atelectasis. It encourages deep breathing, which helps keep the alveoli inflated and can prevent them from collapsing, thus preventing atelectasis.
Choice D rationale
Increasing oral fluid intake can help to thin secretions, making them easier to mobilize. However, it is not the primary measure to prevent atelectasis.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale
While skin breakdown can occur due to prolonged bed rest, it is not directly related to shallow respirations and refusal to cough or get out of bed.
Choice B rationale
Pneumonia is a possible complication due to immobility and shallow breathing. However, it is not the most immediate risk for a postoperative client who is refusing to cough or get out of bed.
Choice C rationale
Thrombosis is a risk associated with immobility, but it is not directly related to shallow respirations.
Choice D rationale
Atelectasis, or the collapse of alveoli in the lungs, is a common complication after surgery due to shallow breathing and lack of movement. This condition leads to reduced or absent gas exchange, which can further complicate the client’s recovery.

A. Dyspnea. B. Insomnia. C. Snoring. D. Daytime sleepiness. E. Dyspnea on exertion.

Correct Answer is ["A","C","D"]

Explanation

Choice A rationale
Dyspnea, or difficulty breathing, is a common symptom of Obstructive Sleep Apnea (OSA). This occurs due to the repeated episodes of upper airway obstruction and resultant intermittent hypoxia.
Choice B rationale
Insomnia is not a typical symptom of OSA. While individuals with OSA may experience disrupted sleep, it is usually characterized by excessive daytime sleepiness rather than an inability to sleep.
Choice C rationale
Snoring is a hallmark symptom of OSA. It occurs due to the partial obstruction of the upper airway, which causes vibration of the tissues and results in the sound of snoring.
Choice D rationale
Daytime sleepiness is a common symptom of OSA. This is due to the repeated awakenings throughout the night to resume breathing, which disrupts the sleep cycle and leads to excessive sleepiness during the day.
Choice E rationale
Dyspnea on exertion is not a typical symptom of OSA. While it can occur in severe cases, it is more commonly associated with conditions that affect the heart or lungs, such as heart failure or chronic obstructive pulmonary disease.

View Question and Answer

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

A nurse is caring for a patient at risk for atelectasis. Which independent nursing measure should the nurse prioritize to prevent the development of atelectasis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a postoperative client experiencing shallow respirations and refusing to cough or get out of bed to the chair. The nurse should educate the client about the increased risk of which complication?

Correct Answer is D

Explanation

A nurse is providing education to a client diagnosed with Obstructive Sleep Apnea (OSA). Which of the following signs and symptoms of OSA should the nurse include in the education? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

A nurse is caring for a client who has a tracheostomy. Based on the Nurses Notes and Diagnostic Results, which of the following is a manifestation in the client?

A nurse is caring for a client newly diagnosed with active tuberculosis (TB) and prescribed triple antibiotic therapy. The nurse should recognize that which clinical sign indicates inadequate drug therapy after 2 months of treatment?

A nurse is caring for a client newly diagnosed with a pulmonary embolism (PE). Which of the following is the initial assessment finding in the client diagnosed with PE?

A nurse is working with a colleague who frequently interrupts and dominates during patient care discussions. The nurse wants to address this behavior assertively to ensure effective teamwork. Which response by the nurse demonstrates assertive behavior?

A nurse is reviewing the arterial blood gas (ABG) results for a patient diagnosed with progressive Chronic Obstructive Pulmonary Disease (COPD). Which ABG results should the nurse expect for a patient with progressive COPD?

A patient with lung cancer confides in the nurse, expressing fear about the disease and guilt for smoking in the past. Which response from the nurse would be most appropriate?

A nurse is caring for a patient at risk for atelectasis.

Which independent nursing measure should the nurse prioritize to prevent the development of atelectasis?