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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Postmenopausal bleeding is a common symptom of endometrial cancer and is often one of the first signs reported by clients. It is important for the nurse to identify this symptom as it is a key indicator of potential malignancy in the endometrial lining.

B. Extreme abdominal pain with intercourse is more commonly associated with pelvic inflammatory disease or other gynecological issues rather than endometrial cancer specifically.

C. Green, malodorous vaginal discharge is more indicative of an infection, such as bacterial vaginosis or trichomoniasis, rather than endometrial cancer.

D. Unilateral swelling on the posterior of the vulva may indicate issues such as a Bartholin's gland cyst or other localized conditions, but it is not a typical manifestation of endometrial cancer.

A. Subcutaneous nodules on the ulnar side of the arm. B. Pitting edema of the hands and fingers. C. A grey colored, non-purpuric papular rash. D. A dry, red rash across the bridge of the nose and on the cheeks.

Correct Answer is D

Explanation

A. Subcutaneous nodules are not typically associated with SLE; they are more characteristic of rheumatoid arthritis.
B. Pitting edema of the hands and fingers is more common in conditions such as heart failure or renal disease, rather than SLE.
C. A grey-colored, non-purpuric papular rash is not characteristic of SLE. SLE rashes are usually different in appearance.
D. A dry, red rash across the bridge of the nose and on the cheeks, commonly referred to as a butterfly rash, is a classic manifestation of SLE.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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