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 A

Explanation

Choice A reason: Hypertension is a well-known modifiable risk factor for stroke. Controlling blood pressure can significantly reduce the risk of having a stroke.
Choice B reason: A history of sickle cell disease is a genetic condition and is not considered a modifiable risk factor.
Choice C reason: Having a parent with cardiovascular disease is a non-modifiable risk factor as it is related to genetics.
Choice D reason: Age is a non-modifiable risk factor for stroke. The risk of stroke increases with age.

A. Stable ECG rhythm B. Ability to verbalize causes and eﬀects of CHD/CAD C. Adequate relief of pain D. Compliance with prescribed bedrest

Correct Answer is C

Explanation

Choice A reason: While a stable ECG rhythm is important, it is not the immediate concern post-AMI.

Choice B reason: The ability to verbalize causes and eﬀects of CHD/CAD is an educational goal, not an immediate care priority.

Choice C reason: Adequate relief of pain is a priority to reduce stress on the heart and improve patient comfort.

Choice D reason: Compliance with prescribed bedrest is important but secondary to pain relief.

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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?

Nursing Test Bank

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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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