A nurse is developing a plan of care for a client who is postoperative. Which of the following interventions should the nurse include in the plan to prevent pulmonary complications?
Administer an expectorant
Perform range-of-motion exercises
Place suction equipment at the bedside
Encourage the use of an incentive spirometer
The Correct Answer is D
A. Administering an expectorant is not primarily aimed at preventing pulmonary complications but rather at helping to clear mucus. While this can be part of respiratory care, it does not address the prevention of complications like atelectasis or pneumonia.
B. Performing range-of-motion exercises is important for overall mobility and prevention of deep vein thrombosis but does not specifically address the prevention of pulmonary complications.
C. Placing suction equipment at the bedside is useful for managing secretions but does not directly prevent pulmonary complications. It is a reactive measure rather than preventive.
D. Encouraging the use of an incentive spirometer is an effective method to prevent pulmonary complications such as atelectasis and pneumonia. It helps improve lung function by promoting deep breathing and expanding the alveoli.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
TB medications are usually required for 6 to 9 months, not for the rest of the client’s life. The treatment duration is designed to ensure complete eradication of the bacteria.
B. A typical course of antitubercular medication involves 6 to 9 months of consistent use to fully treat the infection and prevent resistance.
C. The Mantoux test is used for screening and does not determine the duration of treatment. Medication should be continued as prescribed by the healthcare provider.
D. While family members may need to be screened and potentially treated if exposed, they do not routinely take medications solely to prevent infection unless specifically prescribed.
Correct Answer is B
Explanation
A. A JP drain is not used for medication administration; its purpose is to remove fluid from the wound area.
B. The primary purpose of a JP drain is to prevent fluid from accumulating in the wound, which helps reduce the risk of infection and promotes healing by allowing continuous drainage of postoperative fluids.
C. While a JP drain helps manage fluid accumulation, it does not eliminate the need for wound irrigations if prescribed as part of the care plan.
D. A JP drain helps manage excess fluid but is not specifically designed to limit bleeding from the surgical site. Bleeding control is generally managed through other measures and monitoring.
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