A nurse is discussing the benefits of early ambulation after surgery with a preoperative client. Which of the following statements would be incorrect?
Early ambulation can help keep your lungs expanded and prevent pneumonia
Early ambulation is one part of preventing blood clots from forming in your legs
Early ambulation usually delays wound healing and increases the risk wound infection
Early ambulation can help your bladder and bowels recover from the anaesthesia
The Correct Answer is C
A. "Early ambulation can help keep your lungs expanded and prevent pneumonia":
This statement is correct. Early ambulation is beneficial for respiratory function as it helps to keep the lungs expanded, encouraging deeper breaths and better oxygenation. This can help prevent complications like pneumonia and atelectasis, which are common after surgery due to immobility and anesthesia.
B. "Early ambulation is one part of preventing blood clots from forming in your legs":
This statement is also correct. Early ambulation is an important measure in preventing deep vein thrombosis (DVT) and pulmonary embolism (PE), which are common postoperative complications. Movement and walking promote circulation, reducing the risk of blood clots forming in the legs.
C. "Early ambulation usually delays wound healing and increases the risk of wound infection":
This statement is incorrect. Early ambulation does not delay wound healing or increase the risk of infection. In fact, early movement can help improve circulation, which is crucial for wound healing and tissue repair. Gentle movement and ambulation typically have positive effects on wound healing by promoting blood flow to the surgical site. However, patients should avoid excessive strain or stress on the wound to prevent dehiscence or other complications.
D. "Early ambulation can help your bladder and bowels recover from the anesthesia":
This statement is correct. Early ambulation helps stimulate gastrointestinal and urinary systems, which may be sluggish after anesthesia. Walking can encourage the return of normal bowel and bladder function by promoting peristalsis and helping to prevent constipation or urinary retention, both of which can be common after surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Moderate sedation (also called conscious sedation) involves the administration of medications (e.g., midazolam, fentanyl, or propofol) to reduce anxiety, pain, and awareness during procedures, while allowing the patient to:
- Remain awake but relaxed
- Respond to verbal commands
- Maintain their own airway without the need for intubation
It is commonly used for minor surgical procedures, endoscopies, and dental procedures.
Correct Answer is A
Explanation
The client is showing signs of fluid overload due to heart failure exacerbation, including:
- Progressive shortness of breath (fluid in the lungs)
- Jugular venous distention (JVD) (increased central venous pressure)
- Crackles in the lung bases (pulmonary congestion/edema)
- Bounding pulse (increased circulating volume)
IV diuretics (e.g., Furosemide/Lasix) are the first-line treatment to rapidly reduce fluid overload by promoting diuresis and decreasing pulmonary congestion.
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