A nurse is teaching a client who has a spinal cord injury about prevention of atelectasis. Which of the following statements should the nurse include in the teaching?
"Do panting breaths several times a day."
"Perform deep coughing twice a day."
"Strengthen your chest muscles by performing therapy exercises."
"Get plenty of rest throughout the day."
The Correct Answer is B
Choice A Reason:
"Do panting breaths several times a day." This statement is inappropriate. Panting breaths involve rapid, shallow breathing similar to what a dog does when it's hot. This technique may not be as effective in clearing mucus or promoting lung expansion compared to deep coughing. While panting breaths may have some benefits in promoting ventilation and increasing lung volume, they may not be as targeted or efficient in preventing atelectasis as other techniques such as deep coughing
Choice B Reason:
"Perform deep coughing twice a day." This statement is correct. Deep coughing helps clear mucus and secretions from the airways, reducing the risk of blockages that can lead to atelectasis. It promotes airway clearance and lung expansion, maintaining respiratory function. Regular deep coughing is particularly important for individuals with spinal cord injuries, as they may have impaired cough reflexes or weakened respiratory muscles, increasing their vulnerability to atelectasis.
Choice C Reason:
"Strengthen your chest muscles by performing therapy exercises." This statement is incorrect. While strengthening chest muscles through therapy exercises can be beneficial for overall respiratory health, it may not directly target the prevention of atelectasis. Atelectasis is primarily caused by the collapse of lung tissue due to mucus buildup or reduced lung expansion, rather than weakness of chest muscles. While therapy exercises may have other benefits such as improving respiratory function and endurance, they may not be the most effective strategy for preventing atelectasis in individuals with spinal cord injuries.
Choice D Reason:
"Get plenty of rest throughout the day." This statement is incorrect. Rest is important for overall health and well-being, but it may not directly contribute to the prevention of atelectasis. Inactivity and prolonged bed rest can actually increase the risk of atelectasis by reducing lung expansion and promoting mucus accumulation in the airways. While adequate rest is necessary for recovery and energy conservation, it should be balanced with activities that promote lung expansion and airway clearance, such as deep breathing exercises and mobility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
Hypertension is correct. This is a modifiable risk factor for stroke. Hypertension, or high blood pressure, significantly increases the risk of stroke. Treating and controlling hypertension through lifestyle changes and medication can help reduce the risk of stroke.
Choice B Reason:
Client's age is incorrect. While age itself is not modifiable, age is a non-modifiable risk factor for stroke. Risk of stroke increases with age, particularly in individuals over 55 years old. However, other modifiable risk factors can be addressed to reduce overall risk.
Choice C Reason:
History of sickle cell disease is incorrect. Sickle cell disease is a genetic disorder characterized by abnormal hemoglobin in red blood cells. While sickle cell disease increases the risk of certain complications, such as stroke in children, it is not a modifiable risk factor in the traditional sense.
Choice D Reason:
Parent who has cardiovascular disease is incorrect. While having a parent with cardiovascular disease may indicate a genetic predisposition to certain risk factors, it is not a direct modifiable risk factor for stroke. However, individuals with a family history of cardiovascular disease may have increased awareness and motivation to address modifiable risk factors such as hypertension, smoking, and diabetes.
Correct Answer is A
Explanation
Choice A Reason:
Falls is correct. Among individuals aged 65 years and older, falls are the most common cause of spinal cord injuries. As people age, they may experience changes in balance, mobility, and bone density, which can increase their risk of falling. Falls can occur both at home and in other environments, such as during outdoor activities or in healthcare settings. Spinal cord injuries resulting from falls in older adults can have significant consequences, including decreased mobility, chronic pain, and loss of independence.
Choice B Reason:
Gunshot wounds is incorrect. Gunshot wounds can cause spinal cord injuries, but they are not the most common cause for individuals aged 65 years and older. Gunshot wounds tend to be more common in younger age groups or in specific contexts such as violence-related incidents, which are less frequent in older adults.
Choice C Reason:
Sporting accidents is incorrect. Sporting accidents can also lead to spinal cord injuries, especially in younger and more active individuals participating in high-impact sports. However, among individuals aged 65 years and older, participation in sporting activities that could result in spinal cord injuries is generally less common compared to younger age groups.
Choice D Reason:
Motor vehicle accidents is incorrect.
Motor vehicle accidents can cause spinal cord injuries, but they are not as common in the elderly population as they are in younger age groups. Older adults may have reduced driving frequency or may be more cautious on the road, which decreases their risk of motor vehicle accidents compared to younger individuals.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.