The nursing student is reviewing interventions which are part of nursing care and prevention of atelectasis. What are some of the interventions nurses can do to prevent atelectasis? (SELECT ALL THAT APPLY)
Administer antibiotics
Encourage increased oral fluid intake
Early mobilization after surgery
Frequent turning of the patient
Use of incentive spirometry
Correct Answer : B,C,D,E
A. Administer antibiotics
Administering antibiotics is not a direct intervention for preventing atelectasis. Antibiotics are typically prescribed to treat bacterial infections, and atelectasis is more related to lung collapse or incomplete lung expansion.
B. Encourage increased oral fluid intake
Adequate hydration is important for maintaining the moisture of respiratory secretions. This helps prevent mucus from becoming thick and sticky, making it easier for the patient to cough and clear the airways.
C. Early mobilization after surgery
Early mobilization, including activities such as getting out of bed and walking, helps improve lung expansion. It promotes better ventilation and prevents areas of the lungs from collapsing, reducing the risk of atelectasis.
D. Frequent turning of the patient
Turning the patient regularly is crucial for preventing pooling of respiratory secretions in dependent areas of the lungs. By changing the patient's position, nurses can facilitate drainage and ventilation throughout the lungs, minimizing the risk of atelectasis.
E. Use of incentive spirometry
Incentive spirometry is a breathing exercise device that encourages the patient to take slow, deep breaths. This helps expand the lungs and prevents atelectasis by maintaining lung volume and promoting alveolar recruitment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["4"]
Explanation
Warfarin (Coumadin) is an anticoagulant medication that prevents blood clots from forming or growing larger. It is prescribed for clients who have atrial fibrillation, deep vein thrombosis, pulmonary embolism, or artificial heart valves.
The physician orders warfarin 10 mg PO to be administered to a client at 1800 today. The pharmacy only has 2.5 mg tablets available. To calculate the number of tablets that the nurse will administer, the nurse will divide the ordered dose by the available dose. The formula is:
Number of tablets = Ordered dose / Available dose
Number of tablets = 10 mg / 2.5 mg
Number of tablets = 4
Therefore, the nurse will administer 4 tablets of warfarin 2.5 mg PO to the client at 1800 today
Correct Answer is A
Explanation
A. “I will need to stop smoking because the nicotine causes less blood to flow to my hands and feet.”
Explanation: This statement reflects an understanding of the association between smoking and reduced blood flow, particularly due to nicotine's vasoconstrictive effects.
B. “The older I get the higher my risk for peripheral arterial disease gets.”
Explanation: While age is a non-modifiable risk factor for PAD, it is not a statement indicating a change in behavior to address risk factors. It is correct information but doesn't involve a proactive approach to risk reduction.
C. “Since my family is from Italy, I have a higher risk of developing peripheral arterial disease.”
Explanation: Family history is a non-modifiable risk factor, and the statement correctly identifies this risk factor. However, it doesn't address modifiable factors or actions to reduce risk.
D. “I will need to increase the amount of green leafy vegetables I eat to lower my cholesterol levels.”
Explanation: This statement demonstrates an understanding of a dietary modification to lower cholesterol levels, which is a positive step toward reducing a modifiable risk factor for PAD.
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