Author Question: When providing teaching to a patient, which action is important to help the patient in performing ... (Read 59 times)

CBme · **on:** Jun 25, 2018

When providing teaching to a patient, which action is important to help the patient in performing controlled coughing?

a. Repeat the breathing exercises twice.
b. Cough two to three times and inhale between coughs.
c. Place a pillow over the incisional site for splinting.
d. Use the chest and shoulder muscles while inhaling during diaphragmatic breathing.

Question 2

Serious hemorrhaging has resulted in the patient experiencing a fluid and electrolyte imbalance. How should the nurse respond?

a. Initiate intravenous (IV) therapy.
b. Order blood for transfusions.
c. Remove and reapply any dressings.
d. Monitor vital signs every 15 minutes.

Smiles0805 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

C
If the surgical incision is to be thoracic or abdominal, teach the patient to place a pillow over the incisional area and to place his hands over the pillow to splint the incision. The patient should begin by taking two or three slow, deep breaths inhaling through the nose and exhaling through the mouth. On the third inhale he should hold the breath to a count of 3 . The patient will then cough fully for two to three consecutive coughs without inhaling between coughs. Teach the patient to avoid using chest and shoulder muscles while inhaling.. The patient will do this 2 to 3 times every hour he is awake.

Answer to Question 2

D
Monitor vital signs every 5 to 15 minutes (apical, distal rate, blood pressure). IV therapy and blood transfusions require a provider's order. Reinforce the dressing with tape as needed to prevent seepage. If the dressing is saturated, replace only the top layers so as not to disturb any clot formation at the wound site.