A nurse is developing a plan of care for an 80-year-old client who is postoperative. This client has a 38 pack-year smoking history. Which of the following interventions should the nurse include in the plan to prevent pulmonary complications?

Place suction equipment at the bedside.

Perform range of motion (ROM) exercises.

Administer an expectorant.

Encourage the use of incentive spirometry.

Answer and Explanation

The Correct Answer is D

Choice A reason: Placing suction equipment at the bedside is a preparatory measure but not a preventive intervention for pulmonary complications.

Choice B reason: Performing ROM exercises is beneficial for overall mobility but does not directly prevent pulmonary complications.

Choice C reason: Administering an expectorant may help clear secretions but is not the primary preventive measure for pulmonary complications.

Choice D reason: Encouraging the use of incentive spirometry is a proven intervention to prevent pulmonary complications by promoting lung expansion and preventing atelectasis, especially in patients with a history of smoking.

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Correct Answer is B

Explanation

Choice A reason: A PR interval of 0.04-0.20 seconds is too broad and includes values that are both below and above the normal range.

Choice B reason: A PR interval of 0.12-0.20 seconds is the established normal range for adults, reﬂecting proper conduction through the AV node.

Choice C reason: The PR interval being less than half the R-to-R ratio is not a standard measurement for PR intervals and does not provide a specific range.

Choice D reason: A PR interval of 0.08-0.10 seconds is below the normal range and may suggest pre-excitation or an AV nodal (junctional) rhythm.

A. A client who told an assistive personnel he is short of breath B. A client who has a prescription for discharge C. A client who received oral pain medication 30 minutes ago D. A client who is scheduled for an abdominal x-ray and is awaiting transport

Correct Answer is A

Explanation

Choice A reason (client care): A client reporting shortness of breath may be experiencing a life-threatening situation that aligns with the ABCs (Airway, Breathing, Circulation) of patient prioritization. This client requires immediate assessment and intervention.

Choice B reason (client care): While discharge is important, it does not take precedence over a client with potential respiratory distress.

Choice C reason (client care): A client who received pain medication 30 minutes ago is likely stable and can be seen after more urgent cases are addressed.

Choice D reason (client care): A client waiting for an abdominal x-ray is not a priority over a client with respiratory issues.

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A nurse is developing a plan of care for an 80-year-old client who is postoperative. This client has a 38 pack-year smoking history. Which of the following interventions should the nurse include in the plan to prevent pulmonary complications?

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Correct Answer is B

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A nurse is developing a plan of care for an 80-year-old client who is postoperative. This client has a 38 pack-year smoking history. Which of the following interventions should the nurse include in the plan to prevent pulmonary complications?