Which nursing intervention is most important for preventing respiratory complications such as pneumonia and atelectasis in a postoperative client?
Control of anxiety and agitation
Adequate nutrition and fluids
Adequate pain control
Use of incentive spirometry
Early ambulation.
The Correct Answer is D
The correct answer is choice D) Use of incentive spirometry. Incentive spirometry is a device that helps patients take slow, deep breaths to expand their lungs and prevent respiratory complications such as pneumonia and atelectasis. Incentive spirometry also helps clear mucus and fluids from the lungs and improves ventilation.
Choice A is wrong because controlling anxiety and agitation may not directly prevent respiratory complications, although it may help patients breathe more comfortably.
Choice B is wrong because adequate nutrition and fluids are important for general health and recovery, but they do not specifically prevent respiratory complications.
Choice C is wrong because adequate pain control may help patients breathe more deeply and cough more effectively, but it is not enough to prevent respiratory complications by itself.
Choice E is wrong because early ambulation may improve blood circulation and reduce the risk of thromboembolism, but it does not directly prevent respiratory complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A. Holding the baby close to her chest and stroking his hair indicates positive bonding between the mother and the newborn.This behavior shows that the mother is attentive, affectionate, and responsive to her baby’s needs.
Choice B is wrong because looking away from the baby and talking to the visitors suggests that the mother is not interested in or attached to her baby.She may be distracted, overwhelmed, or depressed.
Choice C is wrong because handing the baby to the nurse whenever he cries implies that the mother is not willing or able to comfort her baby.She may be avoiding contact or feeling helpless.
Choice D is wrong because feeding the baby with a bottle and avoiding eye contact indicates that the mother is not engaging with her baby.She may be missing an opportunity to bond through eye contact, touch, and voice.
Correct Answer is D
Explanation
“I can take ibuprofen or acetaminophen for pain relief.” This is because these are safe and effective medications for pain management after a C-section.
Choice A is wrong because driving is not recommended until the incision is healed and the pain is gone, which can take 4 to 6 weeks.
Choice B is wrong because lifting anything heavier than the baby can strain the incision and cause bleeding or infection.
Choice C is wrong because sexual intercourse should be avoided until the vaginal bleeding stops and the incision is healed, which can take 4 to 6 weeks or longer.
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