Answer to Question 1
D
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A Increased oxygen will not prevent excess fluid buildup.
B Frequent chest physiotherapy may help facilitate removal of secretions but will not prevent excess fluid buildup.
C Incentive spirometry is used to promote deep breathing and to prevent or treat atelectasis in the postoperative patient. It will not prevent excess fluid buildup.
D Chest tubes are inserted to remove air and fluids from the pleural space, to prevent air or fluid from re-entering the pleural space, and to re-establish normal intrapleural and intrapulmonic pressures. The patient who has had mitral valve replacement surgery (chest surgery) would be expected to have a chest tube postoperatively to prevent excess fluid buildup in the pleural space.
Answer to Question 2
C
A safety tip the nurse can share with this client is to keep the car in good working condition.
The nurse should advise the client to go slowly, but not too slowly, for safety.
The nurse can offer this client the driving tip to drive in familiar areas, but not to take long road trips by himself.
The client should be advised to avoid driving at dusk or at night.
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