The nurse is assisting in the care of a patient after open-heart surgery. Which action by the other nurse would warrant intervention?
Providing the patient with a pillow to brace the incision
Instructing the patient to perform deep coughing every 30 minutes
Having the patient sit up and lean forward
Giving pain medication prior to coughing
The Correct Answer is B
Choice A reason: Providing a pillow to brace the incision is a recommended practice to support the incision during coughing or movement.
Choice B reason: Instructing the patient to perform deep coughing every 30 minutes is a standard postoperative care practice to prevent atelectasis.
Choice C reason: Having the patient sit up and lean forward can help with breathing and comfort after surgery.
Choice D reason: Giving pain medication prior to coughing is actually a recommended practice to reduce pain and facilitate effective coughing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Direct communication with the surgeon can provide the patient with reassurance and specific information about the surgery, which may alleviate fears.
Choice B reason: Offering spiritual support may be helpful, but it does not directly address the patient's concern about the surgery itself.
Choice C reason: Providing statistics may be reassuring, but it may not fully address the patient's individual fears.
Choice D reason: Recommending analgesics only addresses pain management and not the patient's expressed fear regarding the surgery.
Correct Answer is ["A","D","E"]
Explanation
Choice A reason: Agoraphobia is a type of phobia characterized by a fear of being in situations where escape might be difficult or that help wouldn't be available if things go wrong.
Choice B reason: Aquaphobia is a specific fear of water and is not one of the main types of phobias identified by DSM-5.
Choice C reason: Acrophobia is a fear of heights, which is a specific phobia, but not one of the three main types identified by DSM-5.
Choice D reason: Specific Phobia is a type of anxiety disorder defined by a persistent and excessive fear of an object or situation.
Choice E reason: Social Phobia, also known as Social Anxiety Disorder, is characterized by a significant amount of fear in one or more social situations, causing considerable distress and impaired ability to function in at least some parts of daily life.
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