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 D

Explanation

A. This is caused by an increase in acid or a loss of bicarbonate. Vomiting does not typically lead to this.
B. This is caused by a buildup of carbon dioxide in the blood, usually due to inadequate breathing.
C. This is caused by hyperventilation and excessive loss of carbon dioxide.
D. This is caused by a loss of acid or an increase in bicarbonate. Vomiting can lead to a loss of stomach acid, resulting in metabolic alkalosis.

A. "I will perform deep breathing exercises only when the pain is minimal." B. "I will perform deep breathing exercises every hour while awake." C. “I will perform coughing exercises only if I feel short of breath." D. "I will avoid deep breathing exercises to prevent straining my incision."

Correct Answer is B

Explanation

A. Deep breathing exercises should be performed regularly, regardless of the level of pain. The exercises are crucial for preventing lung complications, and pain management should be addressed so that the client can perform these exercises effectively.
B. This statement reflects a proper understanding of the importance of regular deep breathing exercises. Performing these exercises every hour while awake helps to keep the alveoli open and reduces the risk of atelectasis and pneumonia. Consistent practice is essential for maximizing lung expansion and preventing complications.
C. Coughing exercises should be performed regularly, not just when experiencing shortness of breath. Coughing helps to clear secretions from the airways and prevent their accumulation, which can lead to respiratory infections and other complications.
D. Avoiding deep breathing exercises is not advisable. While there may be some discomfort, deep breathing is essential for lung health post-operatively. The exercises help prevent complications such as atelectasis.

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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 has nausea and is vomiting. The nurse should identify the client is at risk for which of the following acid-base imbalances?

Correct Answer is D

Explanation

The nurse emphasizes the importance of deep breathing and coughing exercises post-operatively to prevent complications. Which statement by the client indicates understanding of these exercises?

Correct Answer is B

Explanation

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