A nurse teaches a post-operative patient about preventing atelectasis. Which statement by the patient indicates an understanding?

“Hyperventilation will open up my alveoli, preventing atelectasis."

“It is important for me to do breathing exercises every hour to prevent atelectasis."

"Atelectasis affects only those with chronic conditions such as emphysema. I do not have emphysema therefore I will not get this condition."

“If develop atelectasis, I will need a chest tube to drain excess fluid."

Answer and Explanation

The Correct Answer is B

A.   Hyperventilation can lead to dizziness and lightheadedness, and it's not a recommended method for preventing atelectasis.
B.   This statement indicates understanding of the importance of deep breathing exercises in preventing atelectasis.
C.   This statement shows a misunderstanding of atelectasis. Anyone can develop atelectasis, especially after surgery.
D.   This statement is incorrect, but it focuses on treatment rather than prevention.

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Correct Answer is ["C"]

Explanation

A. Asking the client to read their identification bracelet can be additional verification steps, but it is not standard practice for all institutions

B. To point to the surgical site can be additional verification steps, but it is not standard practice for all institutions.
C. Using two acceptable client identifiers, such as the client's name and date of birth, to confirm the patient's identity.
D. It is important to verify that the surgical site has been marked, which is a critical step in preventing wrong-site surgery.
E. Asking the client to state the surgery being performed is a good practice as it involves the patient in their care and serves as a final verification of the correct procedure.

A. Plan to administer sodium bicarbonate to the client. B. Have the client place their head between their knees. C. Have the client breath into a paper bag. D. Plan to administer insulin to the client.

Correct Answer is C

Explanation

A. Sodium bicarbonate is used to treat metabolic acidosis, not respiratory alkalosis. It helps to neutralize excess acid in the blood, which is not the issue in respiratory alkalosis where the problem is a deficit of CO₂, not an excess of acid.
B. Placing the head between the knees might help with dizziness or lightheadedness but does not address the underlying issue of hyperventilation or help with CO₂ retention.
C. Breathing into a paper bag can help the client re-breathe exhaled CO₂, which helps to correct the imbalance caused by hyperventilation. This method assists in raising CO₂ levels in the blood, which can help normalize the pH and alleviate symptoms of respiratory alkalosis.
D. Insulin is used to manage blood glucose levels in diabetes and is not relevant to the treatment of respiratory alkalosis.

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A nurse teaches a post-operative patient about preventing atelectasis. Which statement by the patient indicates an understanding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is scheduled for a procedure. Which of the following actions should the nurse take during the time-out? (Select All that Apply.)

Correct Answer is ["C"]

Explanation

A nurse is caring for a client who has respiratory alkalosis and is hyperventilating. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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A nurse teaches a post-operative patient about preventing atelectasis. Which statement by the patient indicates an understanding?

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