Author Question: The nurse is caring for several patients postoperatively following abdominal surgery. Which patient ... (Read 157 times)

brutforce · **on:** Jun 25, 2018

The nurse is caring for several patients postoperatively following abdominal surgery. Which patient will benefit the least from the use of incentive spirometry?

a. Middle-aged male with a history of smoking since high school
b. Elderly female with type 2 diabetes
c. Middle-aged female with a history of chronic respiratory disease
d. Adolescent female with atelectasis

Question 2

After insertion of the needle into the patient's ventrogluteal muscle, the nurse aspirates and notices a very small amount of blood in the syringe. What action should the nurse take?

a. Inject the medication slowly but smoothly.
b. Withdraw the needle, expel the blood from the syringe, reinsert the needle, and inject the medication.
c. Withdraw the needle, change the needle, insert the needle, and inject the medication.
d. Withdraw the needle, dispose of the medication and syringe, and prepare another dose of medication.

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

Answer to Question 1

B
Incentive spirometry (IS) assists the patient in deep breathing. It is used most often following abdominal or thoracic surgery to help reduce the incidence of postoperative pulmonary atelectasis. It is especially beneficial in patients with a history of smoking, pneumonia, chronic respiratory disease, or atelectasis.

Answer to Question 2

D
Aspiration of blood into the syringe indicates possible placement into a vein. If blood appears in the syringe, remove the needle, dispose of the medication and syringe properly, and prepare another dose of medication for injection.