A nurse is reinforcing preoperative teaching for a client about coughing and deep breathing. Which of the following statements should the nurse make?

"Repeat your breathing exercise every 2 hrs."

"Inhale through your mouth."

"Hold your breath for 5 seconds."

"Exhale through your nose."

Answer and Explanation

The Correct Answer is C

A) "Repeat your breathing exercise every 2 hrs." Repeating breathing exercises should be done a couple of times every hour to help prevent postoperative complications such as atelectasis and pneumonia.
B) "Inhale through your mouth." Clients should inhale through their nose to filter, warm, and humidify the air.
C) "Hold your breath for 5 seconds." Holding the breath for 5 seconds allows for better lung expansion and optimal oxygen exchange.
D) "Exhale through your nose." Clients are generally advised to exhale through pursed lips to create positive airway pressure and prevent airway collapse.

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Correct Answer is C

Explanation

A. Examining the character of the sputum: While monitoring secretions is important, it does not necessarily indicate the need for immediate suctioning.
B. Monitoring the rate of respirations: An increased respiratory rate can indicate distress but is not a definitive cue for suctioning.
C. Auscultating the breath sounds: This helps identify the presence of secretions or airway obstruction and is a primary indicator for suctioning.
D. Determining the last time the patient was suctioned: Suctioning should be based on clinical need rather than a routine schedule.

A. A nasal cannula B. A Venturi mask C. A humidifier D. High oxygen flow rate

Correct Answer is C

Explanation

A. A nasal cannula: May cause further nasal irritation and is not ideal for patients with sinus disorders.
B. A Venturi mask: Provides precise oxygen delivery but does not address sinus-related discomfort.
C. A humidifier: Helps add moisture to the oxygen, reducing nasal and sinus irritation and improving comfort.
D. High oxygen flow rate: High flow rates without humidification exacerbate sinus irritation.

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A nurse is reinforcing preoperative teaching for a client about coughing and deep breathing. Which of the following statements should the nurse make?

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Naxlex Comprehensive Predictor Exams

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