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 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.

A. Abdominal distension B. Tingling on lower extremities C. Changes on EKG (U-wave) D. Muscle Weakness E. Peak T Wave on EKG

Correct Answer is ["B","C","D"]

Explanation

A. Abdominal distension is not typically associated with hypokalemia.
B. Often described as pins and needles, this is a common symptom of hypokalemia.
C. Specifically, the appearance of a U wave is a characteristic sign of hypokalemia.
D. Potassium is essential for muscle function, so low levels can lead to weakness.
E. Peak T wave on EKG is associated with hyperkalemia, not hypokalemia.

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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

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

A nurse is assessing a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia? (Select All that Apply.)

Correct Answer is ["B","C","D"]

Explanation

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