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 B
Explanation
Choice A reason: Effective coping skills do not involve working on a problem to the point of exhaustion; this can lead to burnout and is not a sustainable strategy.
Choice B reason: Healthy coping involves making choices that are beneficial and tailored to the individual's needs, promoting well-being and stress management.
Choice C reason: Simply imitating others' coping behaviors may not be effective, as coping strategies should be personalized and fit the individual's unique situation.
Choice D reason: Overuse of defense mechanisms can be counterproductive and is not considered an effective coping skill.
Correct Answer is B
Explanation
Choice A reason: Opioid analgesics do not typically increase coughing; they may actually suppress cough reflexes.
Choice B reason: Opioid analgesics are known to have a calming effect, which can help reduce anxiety in postoperative patients.
Choice C reason: Opioids can lead to decreased blood pressure, not an increase.
Choice D reason: Opioids typically decrease the respiratory rate, which is a potential side effect that needs to be monitored.
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