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?

"I will perform deep breathing exercises only when the pain is minimal."

"I will perform deep breathing exercises every hour while awake."

“I will perform coughing exercises only if I feel short of breath."

"I will avoid deep breathing exercises to prevent straining my incision."

Answer and Explanation

The Correct Answer is B

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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Correct Answer is A

Explanation

A. Decreased renal function is a common age-related change that can significantly increase postoperative complications, such as fluid and electrolyte imbalances, and medication toxicity.
B. Seasonal allergies are not specifically related to postoperative risks and can affect people of all ages.
C. Family history of cancer is a general health risk factor, not specifically postoperative.

D. Hypertension is a common chronic condition that can affect people of all ages and while it can increase postoperative risks, it's not specific to older adults.

A. The nurse determines the prescription is above the recommended dosage range. B. The nurse determines the prescription is insufficient to achieve the desired effect. C. The nurse administers the prescribed dosage. D. The nurse contacts the pharmacist to adjust the prescribed dosage.

Correct Answer is B

Explanation

According to the recommended dosage range of 20 to 25 mg/kg/day for a toddler weighing 20 kg, the daily dosage should be between 400 mg (20 kg x 20 mg) and 500 mg (20 kg x 25 mg).

Therefore, the prescribed dosage of 300 mg per day is below the recommended range.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a postoperative risk factor specifically associated with older adults?

Correct Answer is A

Explanation

A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which of the following actions by the nurse is appropriate?

Correct Answer is B

Explanation

During the preoperative period, what is the nurse's responsibility regarding informed consent?

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