A nurse is assisting a postoperative client with deep-breathing ...

[APUS57]

A nurse is assisting a postoperative client with deep-breathing exercises. Which of the following is an accurate step for this procedure?
 
  A) Place the client in prone position, with the neck and shoulders supported.
  B) Ask the client to place the hands over the stomach, so he or she can feel the chest rise as the lungs expand.
  C) Ask the client to exhale rapidly and completely, and inhale through the nose rapidly and completely.
  D) Ask the client to hold his or her breath for three to five seconds and mentally count one, one thousand, two, one thousand and so forth.

Question 2

Which of the following interventions are recommended guidelines for meeting client postoperative elimination needs?
 
  A) Assess abdominal distention, especially if bowel sounds are audible or are low pitched.
  B) Assess for the return of peristalsis by auscultating bowel sounds every four hours when the client is awake.
  C) Encourage food and fluid intake when ordered, especially dairy products and low-fiber foods.
  D) Assess for bladder distention by Palpating below the symphysis pubis if the client has not voided within eight hours after surgery.

[poopface]

Answer to Question 1

Ans: D
The nurse should place the client in semi-Fowler's position, with the neck and shoulders supported, and ask the client to place the hands over the rib cage, so he or she can feel the chest rise as the lungs expand. Then, ask the patient to exhale gently and completely, inhale through the nose gently and completely, hold his or her breath for three to five seconds, and mentally count one, one thousand, two, one thousand etc., then exhale as completely as possible through the mouth with lips pursed (as if whistling).

Answer to Question 2

Ans: B
Assess for the return of peristalsis by auscultating bowel sounds every four hours when the client is awake. Assess abdominal distention, especially if bowel sounds are inaudible or are high pitched. Encourage food and fluid intake when ordered, especially fruit juices and high-fiber foods. Assess for bladder distention by palpating above the symphysis pubis if the client has not voided within eight hours after surgery.

[APUS57]

Gracias!

[mcabuhat]

Excellent