The nurse is caring for an older adult client who is admitted to the surgical unit following a partial gastrectomy. In addition to frequent position changes, which postoperative intervention is most beneficial for the nurse to perform in preventing respiratory complications?
Promote full diaphragmatic excursion by massaging the back.
Note areas of atelectasis on the daily chest x-rays.
Assist to a chair the day after surgery when the condition is stable.
Provide ice or oral liquids when the client passes flatus.
The Correct Answer is A
A. Promoting full diaphragmatic excursion by massaging the back helps to facilitate deep breathing and lung expansion, which is essential for preventing respiratory complications such as atelectasis and pneumonia after surgery.
B. Noting areas of atelectasis on daily chest x-rays is important for assessing respiratory status, but it is a monitoring intervention rather than a preventive intervention.
C. Assisting the client to a chair the day after surgery when the condition is stable promotes early mobility and prevents complications such as deep vein thrombosis, but it may not directly
address respiratory complications.
D. Providing ice or oral liquids when the client passes flatus may be part of the postoperative care plan, but it does not directly address respiratory complications. It's more related to bowel function and hydration status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Acknowledging the parent's emotions with a supportive statement like, "This must be a very difficult time for you," validates their feelings and encourages open communication.
B. While surgery can help manage myelomeningocele, a full recovery is not always possible, as the condition may lead to lifelong complications. This response may give false reassurance.
C. Asking why the parent feels at fault could unintentionally reinforce feelings of guilt rather than providing comfort and support.
D. While it is true that the parent did nothing wrong, this response may dismiss their feelings rather than helping them process their emotions.
Correct Answer is ["B","E"]
Explanation
A. Blood urea nitrogen (BUN) is not typically monitored to evaluate the effectiveness of antibiotics in treating respiratory tract infections. It is more commonly monitored to assess renal function and hydration status.
B. White blood cell (WBC count is monitored to evaluate the body's response to infection and the effectiveness of antibiotic therapy. A decrease in the WBC count can indicate resolution of the infection.
C. Red blood cell (RBC count is not directly related to the evaluation of antibiotic effectiveness in treating respiratory tract infections.
D. Urinalysis is not typically monitored to evaluate the effectiveness of antibiotics in treating respiratory tract infections unless there are specific indications of urinary tract involvement.
E. Sputum culture and sensitivity testing is important to identify the causative organism of the respiratory tract infection and determine its susceptibility to antibiotics. Monitoring the results of sputum culture and sensitivity helps ensure appropriate antibiotic selection.
F. Serum potassium levels may be monitored for clients receiving certain antibiotics, such as some types of penicillins or fluoroquinolones, due to the potential for electrolyte disturbances.
However, it is not a direct measure of antibiotic effectiveness in treating respiratory tract infections.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.