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 ["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.

A. "You should be flat on your back when you perform purse-lipped breathing" B. "You should inhale through your nose and exhale through your mouth during purse-lipped breathing." C. Your inspiration should be longer than expiration during purse-lipped breathing" D. "You should cough forcefully during exhalation when you are purse-lipped breathing"

Correct Answer is B

Explanation

A. Pursed-lip breathing does not require a specific body position, but it is often more comfortable and effective when the patient is in a semi-Fowler’s position (elevated head of the bed) or sitting upright. Being flat on the back might actually make breathing more difficult for some patients with COPD.
B. The technique involves inhaling slowly through the nose and exhaling through pursed lips, which creates a slight resistance during expiration. This helps to keep the airways open longer, reduce airway collapse, and improve oxygen exchange. Proper inhalation and exhalation technique are key components of effective pursed-lip breathing.
C. In pursed-lip breathing, expiration should be longer than inspiration. The recommended pattern is to inhale slowly through the nose for about 2 counts and then exhale slowly through pursed lips for about 4 counts. The extended expiration phase helps to remove trapped air from the lungs and improves overall ventilation.
D. Coughing forcefully is not a part of pursed-lip breathing. Pursed-lip breathing focuses on controlled breathing to improve airflow and ease breathing. Coughing can be done separately if needed, but it is not a component of the pursed-lip breathing technique.

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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 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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Correct Answer is B

Explanation

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