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 D

Explanation

A. Refusing to leave home can be a sign of anxiety or other issues but is not specific to confabulation.
B. Reminiscing about the past is a normal behavior and does not indicate confabulation.
C. Compulsive and ritualistic behaviors are more related to obsessive-compulsive disorders rather than confabulation.
D. Confabulation involves making up stories to fill in memory gaps and is a coping mechanism seen in some clients with dementia.

A. Include foods high in fiber. B. Avoid foods high in fat. C. Avoid foods high in sodium. D. Include foods high in starch and proteins.

Correct Answer is B

Explanation

A. While high-fiber foods are generally healthy, they are not specifically targeted to prevent biliary colic. The primary dietary focus should be on fat intake.
B. Avoiding foods high in fat is crucial for clients with chronic cholecystitis, as fatty foods can trigger biliary colic by stimulating the gallbladder to contract.
C. High sodium intake is more related to cardiovascular and kidney health and is not specifically implicated in biliary colic.
D. Including foods high in starch and proteins is not as critical as avoiding fatty foods to prevent episodes of biliary colic.

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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

A nurse is caring for an older adult client who has dementia and handles anxiety by confabulating. The nurse should recognize confabulation when the client

Correct Answer is D

Explanation

A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?

Correct Answer is B

Explanation

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