A nurse is providing preoperative teaching about breathing exercises to a patient. Which of the following instructions should the nurse include? Select all that apply.
"Perform deep breathing every 2 hours around the clock."
"Make sure chest and shoulders move when breathing."
"Take a deep breath before each atempt to cough."
"Sit up straight before beginning coughing exercises."
Use a pillow to support the area when coughing
Correct Answer : A,C,D,E
Choice A reason: Performing deep breathing exercises every 2 hours helps prevent postoperative complications such as pneumonia and atelectasis.
Choice B reason: While chest movement is part of breathing, the instruction is incomplete and should emphasize diaphragmatic breathing rather than shoulder movement.
Choice C reason: Taking a deep breath before coughing helps to increase the effectiveness of the cough, which can clear secretions from the lungs.
Choice D reason: Sitting up straight before beginning coughing exercises helps to ensure maximum lung expansion and effectiveness of the cough.
Choice E reason: Using a pillow to support the surgical area when coughing can help reduce pain and protect the incision site, making the cough more effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Respiratory acidosis is indicated by a pH lower than the normal range (7.35-7.45), combined with a CO2 level higher than the normal range (35-45 mmHg). In this scenario, the pH is 7.33, which is slightly acidic, and the CO2 is 50, which is elevated, suggesting that the lungs are not adequately removing CO2.
Choice B reason: Metabolic acidosis is characterized by a low pH and a low HCO3 level. However, in this case, the HCO3 is normal (22-26 mEq/L), ruling out metabolic acidosis.
Choice C reason: Metabolic alkalosis would present with a high pH and a high HCO3 level. Since the pH is low, metabolic alkalosis is not the correct answer.
Choice D reason: Respiratory alkalosis is characterized by a high pH and a low CO2 level. Given that the pH is low and the CO2 is high, respiratory alkalosis is not the condition indicated by these ABG results.
Correct Answer is ["5"]
Explanation
Step 1: Identify the prescribed dose and the dose per tablet. The prescribed dose is 650 mg and the dose per tablet is 125 mg.
Step 2: Divide the prescribed dose by the dose per tablet to find out how many tablets are needed. So, 650 mg (prescribed dose) ÷ 125 mg/tablet (dose per tablet) = 5.2 tablets
Since we need to round to the nearest whole number, 5.2 tablets rounds to 5 tablets.
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