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.

Answer and Explanation

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.

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Correct Answer is ["C","E","F"]

Explanation

A. Typically, there is no need to restrict a child to clear liquids for several days post-cardiac catheterization unless specified by the physician.
B. Bathing should be avoided if the catheterization was done through the groin, but showers are usually permitted after 24 hours, provided the water does not directly hit the incision site.
C. Monitoring for fever is important as it can be a sign of infection.
D. A pressure dressing is usually kept on the site for the first few hours post-procedure, not for an entire week.
E. Ibuprofen can be given for pain, but it's important to follow the physician's advice regarding dosage and frequency.
F. It is crucial to alert the physician if the site bleeds or swells as this could indicate a complication from the procedure.

A. Move the client to a private room, keep the door closed, and initiate droplet precautions. B. Assist the client to recall everyone possibly exposed since onset of symptoms. C. Place the nasal swab specimen for COVID-19 directly into a biohazard bag. D. Teach the client to wear a mask, hand wash, and social distance to prevent spreading the virus.

Correct Answer is A

Explanation

A. Moving the client to a private room, keeping the door closed, and initiating droplet
precautions are important to prevent potential transmission of COVID-19, especially considering the client's symptoms and recent loss of taste and smell, which are associated with COVID-19.
B. Assisting the client to recall everyone possibly exposed since onset of symptoms is relevant for contact tracing but does not address immediate infection control measures for the suspected case.
C. Placing the nasal swab specimen for COVID-19 directly into a biohazard bag is a correct laboratory procedure but does not address immediate infection control measures for the
suspected case.
D. Teaching the client to wear a mask, hand wash, and social distance to prevent spreading the virus is important for preventing transmission, but in this scenario, immediate isolation
precautions are necessary until a COVID-19 diagnosis is confirmed or ruled out.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits What should the nurse include in post discharge care education? Select all that apply.

Correct Answer is ["C","E","F"]

Explanation

Two weeks after returning home from traveling, a client presents to the clinic with conjunctivitis and describes a recent loss in the ability to taste and smell. The nurse obtains a nasal swab to test for COVID-19. Which action is most important for the nurse to take?

Correct Answer is A

Explanation

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