A nurse is teaching a client who has flail chest about ways to prevent further respiratory complications. Which of the following statements indicates a need for further teaching?
"I should breathe deeply."
"I should cough frequently."
"I should avoid pain medications as much as possible."
"I should use an incentive spirometer regularly."
The Correct Answer is C
A. "I should breathe deeply."
Deep breathing prevents atelectasis and promotes gas exchange.
B. "I should cough frequently."
Frequent coughing helps clear secretions and prevent pneumonia.
C. "I should avoid pain medications as much as possible."
This is incorrect. Adequate pain control is essential for effective breathing and coughing. Pain medications should not be avoided without cause.
D. "I should use an incentive spirometer regularly."
Incentive spirometry is essential to prevent respiratory complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I feel more alert..."
Suggests mania or improved focus, not depression.
B. "I can't stop my mind racing at night..."
Reflects insomnia and anxiety, often associated with depression.
C. "I have high blood pressure."
A physical health issue; not indicative of depression.
D. "I can’t sit still..."
May suggest anxiety or mania, but not classic for depression.
Correct Answer is C
Explanation
A. Decreased specific gravity
This is associated with diabetes insipidus or overhydration, not right-sided HF.
B. Increased PAWP
PAWP reflects left-sided heart pressures; not typically elevated in isolated right-sided failure.
C. Elevated CVP
Right-sided HF causes systemic venous congestion, increasing central venous pressure.
D. Decreased BNP
BNP levels increase with heart failure; decreased levels are not expected.
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