A nurse is reinforcing teaching with a client who is preoperative following abdominal surgery about deep breathing and coughing exercises. Which of the following client statements should indicate to the nurse an understanding of the instructions?
"I start to use the incentive spirometer when I can get out of bed."
"I breathe deeply and cough every 4 hours."
"I splint my incision with a pillow to cough."
"I lie flat in bed to cough and deep breathe."
The Correct Answer is C
Choice A reason: Using the incentive spirometer is important, but it is not specifically related to deep breathing and coughing exercises.
Choice B reason: Breathing deeply and coughing every 4 hours is part of postoperative care, but it does not indicate understanding of the technique to protect the incision.
Choice C reason: Splinting the incision with a pillow while coughing is a recommended technique to support the incision and reduce pain during coughing, indicating an understanding of the instructions.
Choice D reason: Lying flat is not recommended for deep breathing and coughing exercises as it can inhibit lung expansion and is not conducive to effective coughing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A reason: One of the primary goals of pharmacotherapy in schizophrenia is to reduce psychotic symptoms to improve the patient's ability to perform daily self-care activities.
Choice B reason: Decreasing psychotic symptoms to help the patient maintain employment is another goal, as it contributes to the patient's independence and quality of life.
Choice C reason: Reducing symptoms to allow for the maintenance of normal social relationships is also a key goal, as social functioning is often impaired in schizophrenia.
Choice D reason: While the ultimate goal may be to cure schizophrenia, currently, pharmacotherapy aims to manage symptoms as there is no cure for the condition.
Choice E reason: Increasing delusional symptoms is not a goal of treatment; the aim is to decrease such symptoms.
Correct Answer is C
Explanation
Choice A reason: Regression involves reverting to an earlier stage of development when faced with stress, which is not what Marie is doing.
Choice B reason: Repression involves unconsciously blocking out painful thoughts or feelings, which is different from Marie's conscious rationalization of her failure.
Choice C reason: Rationalization is a defense mechanism where an individual justifies an unacceptable behavior or feeling with a logical reason, avoiding the true explanation for the behavior. Marie is rationalizing her failure by blaming the instructor rather than accepting her own role in the outcome.
Choice D reason: Reaction formation involves behaving in a way that is opposite to what one truly feels, which is not applicable in Marie's case.
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