A nurse is teaching a client who has an abdominal incision about coughing and deep breathing. Administer respiratory treatments to encourage coughing D.


A nurse is teaching a client who has an abdominal incision about coughing and deep breathing Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing preoperative teaching with a client who is to undergo a pneumonectomy. Incision care C. Which strategy will most likely increase the client's willingness to cough and perform deep breathing?, The nurse is teaching a client about splinting and coughing postoperatively. In which order should the nurse instruct the client to perform the following steps? 1. White blood count 12. B) Air-popped popcorn. The nurse is caring for a client who had abdominal surgery yesterday and is reluctant to cough and perform deep breathing. Which postoperative complication has the client developed?, A nurse is reviewing the intraoperative record of a client who has been admitted to the surgical unit following abdominal surgery. Which of the following topics should the nurse include? A. Which concept should be the priority in the teaching plan The postoperative client refuses to do deep breathing, and he refuses to turn while in bed. Encourage coughing and deep breathing C. DVT is caused by venous stasis and blood clot formation in the vascular system and can lead to Study with Quizlet and memorize flashcards containing terms like A nurse in an orthopedic clinic is reinforcing teaching with a client who has osteoarthritis. Try jogging in place when joints feel stiff. The nurse reports the client's discomfort and the results of the recently prescribed arterial blood gas analysis to the healthcare provider (HCP). Which of the following actions should the nurse take?, A nurse is teaching a client who has a new hearing aid. The client tells the nurse that the pill is too large to swallow and refuses to take it. B. Which of the following statements by the patient indicates an understanding of the teaching?, A nurse is caring for a patient who is postoperative following abdominal surgery. Which of the following actions should the nurse take? a. 20 in) in size, elevated, and solid with distinct borders. Which of the following is the purpose of these treatments? a) To encourage deep breaths. The nurse discovers a loop of bowel through an opening in the Quiz yourself with questions and answers for Gas exchange and oxygenation Test, so you can be ready for test day. Which of the following adventitious breath sounds should the nurse document? Study with Quizlet and memorize flashcards containing terms like The nurse is teaching a preoperative client how to perform deep-breathing exercises after back surgery. Position a heat lamp over the lower extremities. The nurse notes a hard, distended abdomen and absent bowel sounds. Study with Quizlet and memorize flashcards containing terms like 1. Administer respiratory treatments to encourage coughing. Study with Quizlet and memorize flashcards containing terms like A nurse is administering cold therapy application to a client. Have the client lay on the left side while coughing and deep breathing. when using the incentive Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a history of asthma and is wheezing. " d. The nurse offers to break the pill into two smaller pieces. Which of the following findings should the nurse report to the provider? A. Which o f the following abdominal assessments should the nurse expect? A. Place a pillow Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following an above-the-knee amputation of the right leg and reports pain in the absent portion of the limb. Cyanosis of the fingertips, A nurse is providing discharge instructions to a client who Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a history of asthma and is wheezing. " Study with Quizlet and memorize flashcards containing terms like A nurse teaches deep breathing exercises to a client scheduled for surgery. assist the client in a side-lying position to cough B. Importance of Chest pain and dyspnea As an embolus occludes a pulmonary artery, it blocks the supply of oxygenated blood to the heart, causing chest pain. The client has decreased bowel sounds C. after the surgeon removes the lung you will not need to cough b. Encourage the client to ambulate frequently B. Which of the following instructions should the nurse include to promote comfort? Sleep on a firm mattress. " "I'll ask for pain medication after I do the exercises. Demonstrate how to splint the incision. Rapid onset of dehydration E. Which of the following foods Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from a client who has a stage 3 pressure injury on the coccyx. The nurse should identify that which of the following findings can indicate oxygen toxicity?, A nurse is caring for a client who is receiving supplemental oxygen for hypoxia. Which of the following statements by the client indicates teaching has been effective? A. What observable action serves to best minimize pain that may result from the intervention? The nurse is providing postoperative education to a client with an abdominal incision and is coaching the client to perform coughing Study with Quizlet and memorize flashcards containing terms like A female patient who is being treated for self- inflicted wounds tells the nurse that she is anorexic. It also blocks blood flow to the lungs, causing dyspnea. Provide the information at a 10th grade reading level. ) A nurse who is teaching a client who has an abdominal incision about coughing and deep breathing. Rates pain as 8 on a scale of 0 to 10. Which of the following client statements indicates an understanding of the teaching? Potassium 5. SATA A. The nurse should also ensure that a spare tracheostomy of the client's size, as well as a tracheostomy of one size smaller, supplemental humidified air or oxygen, and Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client about deep venous thrombosis (DVT) prevention. The nurse should instruct the client that Which of the following is the purpose of the treatments? a. Weight gain C. What does the nurse explain to the client about why these actions are important? a. Which instruction is appropriate for this patient? A. A nurse is teaching a client how to take a deep breath and cough during postoperative care after abdominal surgery. A recently extubated client has shortness of breath. If you continue to breathe shallowly or cough ineffectively, this can lead to deep vein Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is scheduled for surgery and is experiencing anxiety. Cough two or three times and inhale between each cough. 1 Dietary recommendations B. The nurse should document these findings as which of the following skin lesions?, A nurse is collecting data from a client who is 3 Which nursing measure would be most effective in helping the client cough and deep breathe after a cholecystectomy? Have the client take rapid, shallow breaths to decrease pain. " B. A colostomy drains stool and ileostomy drains Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an indwelling urinary catheter. What initial nursing activity is most important in the postoperative recovery area?, What measurement should the Study with Quizlet and memorize flashcards containing terms like Client presents with abdominal pain in the upper left quadrant for the past two days. Which of the following actions should the nurse take to promote thinning of respiratory secretions? a. If the tracheostomy is dislodged, an obturator is used to reinsert the outer cannula of the tracheostomy. Which of the following statements by the client indicates understanding of the teaching? "I will no longer floss my teeth after brushing my teeth" instruct the client to avoid flossing teeth to prevent gum inflammation, which could create an opportunity Which of the following findings should the nurse identify as risk factors for heart disease? (Select all that apply. "Exhale into the incentive spirometer" B. Hold breath for 5 seconds after goal volume is reached Patient should hold their breath for 3 to 5 seconds after reaching maximal inspiratory volume. Instruct the client to report increased abdominal pain. Administer respiratory treatments to encourage coughing D. The nurse determines that the client needs additional teaching if the client makes which statement? 1. "I should leave the patch on for 16 to 20 hours each day. Protein b. After conferring with the provider, which of the following actions should the nurse take A nurse is teaching a client who has an abdominal incision about coughing and deep breathing. The nurse is demonstrating which of the following ethical principles? A nurse is assisting with the care of a client following abdominal surgery. Client is awake, alert, and oriented x3. To decrease the heartburn, the nurse should instruct the client to eliminate which of the following items from the diet? A) Lean beef. Which of the following actions should the nurse plan to take first?, A nurse is teaching a client who has a new prescription for a total parenteral nutrition through a central line. The nurse is teaching a client who will undergo abdominal surgery to repair a hernia about deep breathing. excess hair growth on A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. Which technique is recommended by infection control practice standards for hand hygiene? a. The wound is now infected, so the stitches were removed, and the wound is cleaned and packed with gauze. "Hold your breath for 10 secs. Which of the following actions should the nurse take?, A nurse is reinforcing teaching with a client who has A nurse is reinforcing teaching about transdermal nitroglycerin (Nitro-Dur) to a client who has stable angina. Vitamin B1 D. A nurse is providing teaching about Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a male client in an outpatient psychiatric clinic. Frequent bowel sounds with flatus B. " b. Client rates pain as 7 on a scale of 0 to 10. Which of the following interventions is appropriate?, A nurse is planning to Study with Quizlet and memorize flashcards containing terms like A nurse in a provider's office is collecting data from a client who has skin lesions. In which order should the nurse instruct the client to perform the following steps? (Move the steps into the box on the right, placing them in the selected order of performance. The student nurse should understand this clients stools will like 7. Skin cool to touch from calf to toes B. d. The nurse is caring for a 27-year-old client who presents with A nurse is reinforcing teaching with a client who has an abdominal incision about coughing and deep breathing. " "Leg exercises facilitate quicker Which strategy will most likely increase the client's willingness to cough and perform deep breathing? A. Deep breathing and coughing techniques d. encourage coughing and deep breathing c. D) Raw vegetables. Which strategy will most likely increase the client's willingness to cough and perform deep A nurse is caring for a client who has pneumonia. " "I lie flat in bed to cough and deep Explanation: Evisceration is a surgical emergency that occurs when the abdominal contents protrude through the incision site. What is an action of this medication?, Which nursing action will best promote pain management for a client in the postoperative phase?, After a client receives morphine sulfate A nurse is caring for a client who is 2 days postoperative following a cholecystectomy. A) Neurological assessment B) Incisional drainage C) Urinary output D) Reported pain level E) Gastrointestinal assessment F) Vital signs, A nurse in a provider's clinic is caring for a client who has heart failure. Which of the following oxygen delivery devices should the nurse expect to use?, A nurse is An obturator The nurse should ensure that a client who has a tracheostomy has an obturator at their bedside. Call the provider to request more analgesia. Sodium 136 mEq/L B. Which laboratory test best measures the adequacy of tissue oxygenation?, When planning a class for primigravid clients about the common physiological Study with Quizlet and memorize flashcards containing terms like A nurse in a providers office is assessing a client who states he was recently exposed to TB. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who had abdominal surgery yesterday and is reluctant to cough and perform deep breathing. The nurse is educating a patient who has a thoracic or abdominal incision about how to perform postprocedure controlled coughing. What Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing preoperative teaching with a client who will undergo surgery to create a temporary colostomy. The nurse should identify that which of the following can cause hypoxia?, Study with Quizlet and memorize flashcards containing terms like A nurse is teaching about secondary prevention actions for colorectal cancer for a health fair for adults in the community. The anesthesiologist has ordered an anticholinergic medication for this client. 5 sm (0. Smoking cessation B. It is important for the client to turn, cough, and deep breathe to reduce the risk for respiratory complications. , A female client age 54 years has been scheduled for a bunionectomy (removal of bone tissue A nurse is reinforcing teaching with a client who has an abdominal incision about coughing and deep breathing. Which of the following alterations in tissue integrity should the nurse expect to find?, A nurse is assisting with discharge teaching for a client who has a stage 1 pressure injury to the sacrum. Which of the following assessments is an Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an indwelling urinary catheter. Client presents to the ED with upper abdominal pain that radiates to the right shoulder. C) Hot chocolate. In which order should the nurse instruct the client to perform the following steps? -Hold your A nurse is teaching a client who has an abdominal incision about coughing and deep breathing In which order should the nurse instruct the client to perform the following steps? (Move the A nurse should teach a client who has an abdominal incision to perform these steps in following order: Exhale, inhale deeply, and then cough (Option B). Vitamin D, A nurse is assessing a client who has a pressure ulcer. In which order should the nurse instruct the client to perform the following steps? "take a deep breath" hold your breath for several seconds. ) A diet high in saturated fats A history of smoking for 25 years A sedentary lifestyle A nurse is reinforcing teaching with a client who has an abdominal incision about coughing and deep breathing. The nurse should instruct the client to splint the incision while performing these actions to reduce the risk of Study with Quizlet and memorize flashcards containing terms like A nurse is providing preoperative teaching for a client about coughing and deep breathing. The ED doctor plans to have the man return tomorrow to remove the Study with Quizlet and memorize flashcards containing terms like A client comes to the clinic reporting chronic low back pain. to mobilize secretions in the airways c. The client ask the nurse about the difference between colostomies and ileostomies. d) Assist the client with ambulation. encourage regular use of the incentive spirometer Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing wound edges and applying a blinder to the separated incisions of a client after a surgery. A nurse is caring for a client who has a deep foot A medical surgical unit nurse is caring for a client who was transferred to the unit from the PACU approximately two hours ago. A nurse is checking a client' s abdominal incision several hours following surgery and realizes that it is eviscerating. In which order should the nurse instruct the client to perform the following steps? A) Inhale deeply, cough, exhale B) Exhale, inhale deeply, cough C) Cough, exhale, inhale deeply D) Exhale, cough, inhale deeply Study with Quizlet and memorize flashcards containing terms like The nurse in the ED is caring for a client who has returned to the ED 4 days after receiving stitches for a knife wound on his hand. " "When coughing, apply firm pressure on the incision with a bath blanket to Study with Quizlet and memorize flashcards containing terms like When an older adult client is brought to the recovery room and presents with irregular, loud respirations, the nurse determines that this is most likely a result of, A client will be having a surgical procedure requiring general anesthesia. "Help them onto their left side if they are experiencing nausea. The client acknowledges that he is in pain. "Hold your breath for 5 seconds. Choice C reason: Splinting the incision with a pillow while coughing is a recommended technique to support the incision and reduce pain during coughing, indicating an Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing teaching of postoperative deep breathing and coughing exercises with a client who will have emergency surgery for appendicitis. Potassium 2. Instruct the client to keep a pain diary. Which of the following instructions by the nurse is related to preventing skin breakdown?, A wound, ostomy and continence nurse (WOCN) is providing an in service to a group of nurses about documentation The nurse should follow these general tips for postoperative abdominal incision care: Always wash your hands before and after touching your incisions. The nurse should instruct the client to lie supine with his A nurse is reinforcing teaching of postoperative deep breathing and coughing exercises with a client who will have emergency surgery for appendicitis. What does the nurse explain to the client about why these actions are important? Study with Quizlet and memorize flashcards containing terms like A nurse is explaining to a client about coughing following surgery. Call the primary health care provider to request more analgesia. Choice B reason: Breathing deeply and coughing every 4 hours is part of postoperative care, but it does not indicate understanding of the technique to protect the incision. Which of the following findings should alert the nurse that the client is developing an Study with Quizlet and memorize flashcards containing terms like A nurse is replacing the surgical dressings on a client who had abdominal surgery. What action by the nurse is best? a. What criteria would alert the health care worker to her nutritional risk? a) Arm muscle circumference 90% of standard b) Body weight decrease of 5% c) Total lymphocyte count of 1,500/mm3 d) Albumin level of 3. Apply ice packs to painful joints, A nurse Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a client for endotracheal intubation. Apply lotion between the toes after bathing D. After conferring with the provider, which of the following actions should the nurse take first? A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the following actions should the nurse take first?, A nurse is caring for a client who requires 7 L of oxygen to maintain oxygen saturation. How many times and how often Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from a client who is receiving oxygen therapy. The nurse notes a moderate amount of serosanguineous drainage on the old dressing. Which of the following statements should the nurse identify as an indication that the client understands the instructions? From the middle of the thigh toward the wound From the left lower abdominal quadrant toward the wound From Study with Quizlet and memorize flashcards containing terms like A nurse is performing a preoperative assessment for a client. Normal bowel sounds with A nurse is teaching client who is postoperative about the importance of turning, coughing, and breathing deeply. The nurse sees the student coaching the client to perform coughing exercises, as pictured above. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has been admitted with a diagnosis of an obstruction in the small intestine. Apply extra gauze to the new dressing. The nurse has transferred the client from the stretcher to a bed and asked the client if he is experiencing pain. In which order should the nurse instruct the client to perform the following steps? 1) A nurse is teaching a client who has an abdominal incision about coughing and deep breathing. The client received an opioid analgesic 1 hr prior. A nurse is reinforcing teaching with an adult client who has a low literacy level about the subcutaneous administration of medication. Which of the following should the nurse do? A. All pulses palpable. reduced blood viscosity, a nurse is caring for a client who has Study with Quizlet and memorize flashcards containing terms like The nurse is performing a dressing change on a client who underwent abdominal surgery 6 days prior. Which of the following statements indicates a lack of readiness to learn by the client? 1. to encourage deep breaths b. 5 mg/dL, A nurse is teaching about daily chest physiotherapy with a client who has cystic fibrosis. Pericardial friction rub B. A client who has been diagnosed with gastroesophageal reflux disease (GERD) complains of heartburn. Which of the following actions should the nurse take? The nurse is caring for a client on the third day following abdominal surgery and assess the absence of bowel sounds, abdominal distention, and the client passing no A nurse is assessing a client who is postoperative following abdominal surgery. The nurse should identify that that partner is experiencing which of the following types of Rover formance stress? Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing teaching with the caregiver of a client who is near death. What should the nurse discuss with the client A nurse is providing discharge teaching about infection prevention to a client who has AIDS. What would the nurse do next? a. Which of the following interventions should the nurse include in the plan of care?, A nurse in an orthopedic clinic is reinforcing teaching with a client who has osteoarthritis. Study with Quizlet and memorize flashcards containing terms like The nurse has conducted preoperative teaching for a client scheduled for surgery in 1 week. Assist with deep breathing and coughing D. The client A nurse is teaching a client who has an abdominal incision about coughing and deep breathing. The nurse should assess the client for which signs and symptoms? Select all that apply. Exhale slowly 4. "Keeping the room warm will help them breathe easier. 3 mEq/L C. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 5 days postoperative after abdominal surgery. "Aspirin can cause bleeding after Study with Quizlet and memorize flashcards containing terms like A nurse from the ambulatory surgical center is preparing discharge instructions for a client who has had pelvic surgery. Ask the client to briefly explain his cultural The nurse is providing postoperative education to a client with an abdominal incision and is coaching the client to perform coughing exercises, as pictured above. What will the nurse do? a. Reports minimal pain on abdominal palpation. "Take your heart medication with a sip of water before surgery" B. " "I breathe deeply and cough every 4 hours. The Study with Quizlet and memorize flashcards containing terms like 1. A nurse is teaching a client who has an abdominal incision about coughing and deep breathing. ) Study with Quizlet and memorize flashcards containing terms like A nurse is providing teaching for a client who has a new prescription for an incentive spirometer. " "I splint my incision with a pillow to cough. Bloody fluid in the drainage-collection chamber on Study with Quizlet and memorize flashcards containing terms like a nurse is collecting data from a patient who had PAD and is scheduled for RLE amputation. On assessment, the nurse notes that the client's wound has eviscerated. Which of the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who reports feeling a pop after coughing without properly splinting an abdominal incision. Client also reports nausea, vomiting, and dyspepsia. "Inhale through your mouth. 1 / 76 A nurse is reinforcing teaching with a client who has cirrhosis of the liver and a history of C. The preoperative nurse is teaching a client about deep-breathing exercises. Study with Quizlet and memorise flashcards containing terms like The nurse is caring for a client that is experiencing increased shortness of breath. The nurse checks the client's surgical wound and finds an evisceration. disconnect the drainage bag when emptying and Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who had abdominal surgery 24 hours ago. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. " · "Oh, that is Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a patient who is preoperative how to do deep-breathing exercises and cough effectively after surgery. The client has a sudden onset of shortness of breath and begins coughing frothy, pink sputum. Provide written materials that are printed with a small font size. Use all the steps. Study with Quizlet and memorize flashcards containing terms like A client has a nursing diagnosis of Ineffective airway clearance related to poor coughing. Assess fluid intake every 24 hours B. b) To mobilize secretions in the Airways. Take a deep breath 2. Which of the following manifestations should the nurse identify as an indication for discontinuing the application due to a systemic response? a. Which assessment finding includes a complication? A. encourage the client to increase fluid intake d. What is the best method to ensure that the client understands the procedure?, The nurse is teaching a preoperative patient how to perform deep breathing exercises. A client has a great deal of pain when coughing and deep breathing after abdominal surgery despite having pain medication. Which of the following findings is a clinical manifestation of pulmonary tuberculosis? A. The client has a history of arthritis and has been taking acetylsalicylic acid. Which of the following statements by the client indicates to the nurse an understanding of the teaching?, A nurse is planning care for a client Study with Quizlet and memorize flashcards containing terms like A nurse is changing the dressings for a client who has two Penrose drains near an abdominal incision. Clots in the tubing during the first postoperative day B. Encourage regular use of the incentive spirometer Study with Quizlet and memorize flashcards containing terms like A nurse is providing teaching to a client who is in a wheelchair about measures to avoid skin breakdown. " C. *The nurse should also expect to measure the client's abdominal girth to determine if ascites is increasing or decreasing. to stimulate the cough reflex A client has a great deal of pain when coughing and deep breathing after abdominal surgery despite having pain medication. clean the perineal area at least once a day b. The client's partner expresses frustration about finding time to manage household responsibilities while caring for their partner. Calcium C. Which of the following instructions should the A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take?, A nurse is caring for a client who had a mastectomy and has a self-suctioning drainage evacuator in place. Incision Care C) Coughing and deep-breathing A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for regular and NPH insulin. Which statement will the nurse use to educate the client? · "I think it might be good to refer you to a psychiatrist. Which of the following instructions should the nurse provide? A. "Splint the abdominal incision with a pillow when coughing and deep breathing. In which perioperative phase would this action occur?, A client has presented to a clinic for a preoperative consult, during which the client has expressed concern about having to fast before surgery. Study with Quizlet and memorize flashcards containing terms like The nurse is providing postoperative care to a client with cancer of the lung who had a lobectomy. Decontaminate hands using an alcohol Study with Quizlet and memorize flashcards containing terms like A nurse providing preoperative teaching to a client who is to have abdominal surgery. " Which of the following statements should the nurse make? a. The client is pale and slight circumoral cyanosis is developing. Test water temp with Study with Quizlet and memorize flashcards containing terms like The nurse has completed an intervention with a client. "I will apply a new patch in the same location each day. In what order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the order of performance. b. c. The nurse A nurse is caring for a client who has an abdominal surgical incision and notes an evisceration. Explore quizzes and practice tests created by teachers and students or create one from your course material. Repeat the breathing exercises twice each day. Vitamin B1 d. Which of the following findings should the nurse expect in the affected limb. Which of the following actions should the nurse implement to prevent the development of skin breakdown?, A nurse is caring for a client who is postoperative following abdominal surgery. What can cause the spread of Hepatitis A?, Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client about nutritional requirements necessary to promote wound healing. The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? Shellfish Peanuts Eggs Avocados, Complete the diagram by dragging from the choices below to specify what condition the client is most likely A nurse is caring for a client who has a prescription for a potassium supplement. Develop rubor when extremity is dependent position C. C. Absent bowel sounds with distention C. Medications used during surgery c. Which of the following interventions should the nurse include in the plan of care? Keep bed linens o of the affected areas. Brace the incision with a pillow and try to cough deeply Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with the development of a plan of care to manage pain for a client who has herpes zoster with lesions on the lower extremities. When planning this client's care, the nurse should include which intervention? -Increasing fluids to 2,500 ml/day -Improving airway clearance -Suctioning the client every 2 hours -Teaching the client how to deep-breathe and . Which desired outcomes of general anesthesia does the nurse expect to observe? A nurse is caring for a client who is receiving supplemental oxygen for hypoxia. The nurse observes that the clients wound is in evisceration. Projectile vomiting B. c) Encourage deep breathing and coughing. Which of the following actions should the nurse take to promotor thinning of respiratory secretions? A. ", A The nurse is teaching the client who recently experienced abdominal surgery to deep breathe and cough effectively. palpable pedal pulse D. Teach the client to use a folded blanket or pillow to splint the incision. The nurse should report this finding to the provider immediately and Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client about nutritional requirements necessary to promote wound healing. Protein B. Which of the following oxygen delivery devices should the nurse expect to use?, A nurse is Study with Quizlet and memorize flashcards containing terms like 100. The client has been vomiting for the past 24 hr and reports a pain level of 8 on a 0 to 10 scale. For which of the Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with the development of a plan of care to manage pain for a client who has herpes zoster with lesions on the lower extremities. The nurse draws out 1 mL of the medication from Study with Quizlet and memorize flashcards containing terms like The nurse is teaching a client who will undergo abdominal surgery to repair a hernia about leg exercises. Vitamin D, A nurse is caring for a client who has a large lower-leg ulcer. Monitor the incision site for findings of infection, A nurse is talking with a client Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client to the postsurgical unit from the postanesthetic care unit. The client has an NG tube to provide continuous suction C. A nurse is caring for a client who is 6 days postoperative from abdominal surgery. Pain management, A nurse is A nurse is demonstrating postoperative deep breathing and coughing exercises to a client who will have emergency surgery for appendicitis. In planning care for this client, the nurse should be prepared to perform catheterization if the patient hasn't avoided in: A. The nurse should identify that which of the following findings increases the client's risk for wound evisceration? A. which of the following response should the nurse offer? A. What step should the nurse have the client perform next? Encourage the client to cough and deep breathe This does not describe postural drainage. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following a vascular surgery. ) 【Solved】Click here to get an answer to your question : A nurse is teaching a client who has an abdominal incision about coughing and deep breathing In which order should the nurse instruct the client to pe Study with Quizlet and memorize flashcards containing terms like A nurse is inserting a nasogastric tube for a client and asks the client to flex their head toward their chest after the tube passes through the nasopharynx. States pain became worse this morning and is radiating to the back. 4 mEq/L D. The nurse auscultates loud, bubbly sounds on inspiration. Study with Quizlet and memorize flashcards containing terms like A nurse is planning discharge teaching for a client who is postoperative following a traditional open cholecystectomy. hypotension b. Which strategy will most likely increase the client's willingness to cough and perform deep breathing? Teach the client how to splint the abdomen while coughing. Closing off the glottis b. This decreases the collapse of alveoli, which helps to prevent the risk of atelectasis and pneumonia The patient should breathe normally for short periods of time between each cycle of breaths, to reduce hyperventilation and fatigue. Have the client take shallower breaths. The client reports severe pain 3. ) The nurse has admitted a client to the postoperative unit following a bowel resection and is providing postoperative health education on coughing and deep breathing. Which of the following actions should the nurse take?, A nurse is preparing to remove staples from a client's incision. There is no visible soiling on the nurse's hands. For which of the following results should the nurse notify the provider? A. Which of the following instructions should the nurse include? A. New types of ostomy appliances D. Encourage deep-breathing and coughing--- The first action the nurse should take when using the airway, breathing, and circulation (ABC) approach is to encourage the client to breathe deeply and cough to clear secretions from the airway. "Exhale through your nose. A nurse is teaching a client who has a pressure injury on their leg about proper nutrition to facilitate wound healing. The client states, "I am afraid it will hurt to cough after the surgery. A nurse is preparing to administer an injection of an opioid medication to a client. Encourage deep breathing and coughing. Trim toenails by rounding the edges of the nail C. ), A nurse is preparing to perform an assessment of a client's abdomen. Calcium 10 mg/dL, A nurse is assisting with the care of a Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 2 days postoperative from abdominal surgery. Teach the client how to splint the abdomen while coughing C. How does the nurse instruct the client? The nurse has admitted a client to the postoperative unit following a bowel resection and is providing postoperative health education on coughing and deep breathing. Study with Quizlet and memorize flashcards containing terms like A nurse is updating the plan of care for a client who is 48 hr postoperative following a laryngectomy and is unable to speak. 4 mEq/L. The nurse should recognize which An 80-year-old client who has a fractured hip The nurse should identify that an 80-year old client who has a fractured hip is at the greatest risk for a complication due to immobility and a lack of lower-extremity movement, which can lead to DVT. "Repeat your breathing exercise every 2 hrs. It will make sure Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has urinary incontinence. D. Which of the following actions should the nurse take first? 1. Blood The nurse is caring for a client who had abdominal surgery yesterday and is reluctant to cough and perform deep breathing. A student nurse is receiving report from the LPN on duty, the LPN informs the nurse that the client has an colostomy in place. Which of the following activities should the nurse suggest?, A nurse is reinforcing preoperative teaching about breathing exercises with a client. "After surgery, deep-breathing exercises help to remove anesthetic gases and mucus and improve Study with Quizlet and memorize flashcards containing terms like A nurse is teaching the parent of a child who has severe reactive airway disease about glucocorticoid therapy. What suggestion should the nurse give?, A nurse is contributing to a teaching plan about the prevention of hepatitis A. flush the catheter with sterile water daily d. The client asks the nurse to repeat the instruction before attempting the exercises 2. Bowel sounds Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with the care of a client who is 2 days postoperative. Which factor(s) in the client's health history signals to the nurse that the client is at increased risk? Select all that apply. Which of the following actions should the nurse take? after meals is not ideal because bronchodilators are typically given before meals to help open the airways and make breathing easier during eating. The client has been vomiting for the past 24 hours and reports a pain level of 8 on a 0 to 10 scale. The client is morbidly obese B. Study with Quizlet and memorize flashcards containing terms like A client who had a recent amputation below the knee tells the nurse about feeling as though the toes are cramping in the missing leg. This is because A nurse is reinforcing teaching with a client who has an abdominal incision about coughing and deep breathing. Pain management and more. Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to perform light palpations of a clients abdomen. Which of the following adhering devices is the best choice for the nurse to use to decrease skin irritation?, A nurse if preparing to anchor with tape the catheter tube for a male client who has a newly After positioning the client to teach deep-breathing exercises, the nurse asks the client to place the hands on the rib cage. Which of the following statements indicates the client understands the reinforcement of teaching?, A Study with Quizlet and memorize flashcards containing terms like A nurse is placing a client in the dorsal recumbent position. The nurse should identify that which of the following can cause hypoxia? Normal breathing Smoke inhalation Crackles in the lungs Infection 5 of 20 A nurse is reinforcing teaching with a client who has an abdominal incision about coughing and deep breathing. shivering d. Calcium c. Which of the following statements should the nurse make? a. A nurse is collecting data from a client who has 30% body surface area deep partial-thickness and full-thickness Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a postoperative client. Night sweats D. Contact the surgeon to discuss the need for What will the nurse include in the client teaching about preventing repeat hospitalizations? level of pain while performing cough and deep-breathing exercises while splinting incision. The client has a chest tube attached to suction. Hold your breath for several seconds 3. to dilate the bronchioles d. Coughing and deep-breathing exercises D. Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with the development of a plan of care to manage pain for a client who has herpes zoster with lesions on the lower extremities. Lung sounds clear bilaterally, S1 and S2 heart tones noted. What teaching would the nurse include about DVT prevention?, A nurse is receiving a client to the postanesthesia unit. Which of the following nutrients should the nurse include in the teaching? a. Wash hands with soap and water, followed by an alcohol-based hand rub. Febrile, oriented to person, place and time. " . Which of the following information should the nurse provide the parent?, A nurse is providing teaching to a client who Study with Quizlet and memorize flashcards containing terms like A nurse is teaching an older adult client who has a new prescription for a pain medication. Benefits of a diet high in cruciferous vegetables C. D) Take serial measurements of the abdomen with a tape measure. Which of the following actions should the nurse take?, A nurse is contributing to the plan of care for four patients. numbness c. Ambulate three times a day C. Carefully reinsert the intestine through the opening of the wound B. A nurse is teaching a client who has an abdominal incision about coughing and deep breathing. 9 x 103 cells/mm3 (12. The client reports a sudden pulling sensation and pain in his surgical incision. Which criterion would the client need to demonstrate to ensure that she is ready for discharge? verbalize absence of pain void normally exhibit no bleeding eat without nausea, The nurse is teaching Study with Quizlet and memorize flashcards containing terms like A nurse is conducting discharge teaching about foot care for a client who has diabetes mellitus. Remind the client of the serious complications that can result A nurse is talking with the partner of a client who has dementia. Hypoactive bowel sounds; reports nausea, no vomiting; client is passing flatus. A nurse is A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD) about minimizing the effects of reflux during sleep. The nurse should follow these general tips for postoperative abdominal incision care: Always wash your hands before and after touching your incisions. Encourage the client to increase fluid intake D. The nurse monitors the client for thrombus formation. Use a soft chair or recliner for sitting. A. Review The nurse is supervising a nursing student who is providing postoperative education to a client with an abdominal incision. encourage the client to ambulate frequently b. Which of the following actions is the priority? A. The nurse removes the client's surgical dressing and notes a separation of the wound edges. " · "That is called phantom pain and it is not unusual. Which of the following statements Wound dehiscence can lead to infection, bleeding, and evisceration (protrusion of internal organs through the incision). The client has Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative and has paralytic ileus. " c. Care for the surgical incision b. Which of the following statements by the client indicates an understanding of the teaching? "I'll splint my incision with a pillow to cough. Wear nylon socks with shoes everyday B. which of the following statements should the nurse make? (select all that apply) A. Which of the following information should the nurse provide the parent?, A nurse is providing teaching to a client who Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing the laboratory values for a client who has heart failure and is taking bumetandine. Which of the following interventions A nurse is teaching a client who has an abdominal incision about coughing and deep breathing. Which teaching statements follows the recommended guidelines? "If you cough, turn your head away from the incision to protect it from microorganisms. The nurse has helped the client to a sitting position. The client with pulmonary embolism typically has a cough that produces blood-tinged sputum (rather than a nonproductive cough) and chest pain (rather than abdominal pain). Copious diarrhea D. This action facilitates proper insertion of the tube by achieving which of the following? a. Study with Quizlet and memorize flashcards containing terms like Which topic is most important for the nurse to discuss preoperatively with a patient who is scheduled for abdominal surgery for an open cholecystectomy? a. After reviewing the report of the complete blood count (see report), the nurse should also report which results to the Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is 48 hours post-op following abdominal surgery. Hyperactive bowel sounds with diarrhea. A nurse is preparing to perform wound care and remove Study with Quizlet and memorize flashcards containing terms like (Select all that Apply) A nurse is caring for a client who is postoperative following abdominal surgery. Oral antibiotic therapy after discharge home, The A nurse is teaching a client who has human immunodeficiency virus (HIV) about how the virus is transmitted. Which of the following interventions should the nurse identify as the priority?, A nurse is contributing to the plan of care for a client who has peripheral arterial disease of the lower extremities. In which order should the nurse instruct the client to perform the following "I start to use the incentive spirometer when I can get out of bed. Which of the following nutrients should the nurse include in the teaching? A. "Use the incentive spirometer every hour while awake" C. Which of the following instructions should be The nurse is preparing discharge instructions for a family member who will be caring for a client with an abdominal incision. The nurse notes that the lesions are 0. He asks the nurse to recommend specific exercises for him. Tell the client a little pain is expected. When the client asks, "Why am I practicing leg exercises when I'm having hernia surgery?" what is the appropriate nursing response? This technique will help with pain control. 9 x 109 /l), hemoglobin 14 g/dl (140 g/l), blood glucose level 130 mg A nurse is teaching a client who is preoperative how to do deep-breathing exercises and cough effectively after surgery. empty the drainage bag when it is three/fourths full c. Inspect your incisions and wounds every day for signs your healthcare provider has told you are red flags or concerning. " A nurse is caring for a client who had a myocardial infarction 5 days ago. , A nurse A nurse is caring for a client who is 2 days postoperative following a cholecystectomy. Magnesium 1. Which of the following signs should indicate to the nurse that the client has developed a thrombus?, A nurse is monitoring a client who is receiving a unit of packed RBCs following surgery. Significant abdominal distention C. Dietary recommendations B. Preventing curling of the tube in the mouth c The client has just returned from abdominal surgery. Which statement indicates a lack of readiness to learn by the client?, A nurse is preparing a client who is scheduled for a hysterectomy for transport to the operating Study with Quizlet and memorize flashcards containing terms like A nurse is teaching the parent of a child who has severe reactive airway disease about glucocorticoid therapy. The parent asks why her child has to inhale the medication instead of taking it orally. Which of the following actions should the nurse take to ensure proper A nurse is teaching a client with cystic fibrosis about daily chest physiotherapy. Which of the following learning needs of the client is the nurse's priority? A. "Encourage meals at least three times daily. The client reports discomfort from abdominal distension and flatus. . vgdxqs fpgvv jnki obdg oyzsegb minny xamkt bkiupx xrcfoy wimikou