A client recovering from surgery asks the nurse why turning, deep ...

[Lobcity]

A client recovering from surgery asks the nurse why turning, deep breathing, and coughing exercises need to be done. What should the nurse respond?
 
  1. These exercises help prevent pneumonia.
  2. The doctor ordered the exercises.
  3. All surgical clients must do these exercises.
  4. These exercises prevent thrombophlebitis.

Question 2

The nurse is assessing an abdominal wound in the postoperative period. Which sign would indicate to the nurse that an infection is present?
 
  1. Absence of bleeding
  2. Edges warm to the touch
  3. Edges well approximated
  4. Sutures in place

[memslove]

Answer to Question 1

Correct Answer: 1
Rationale 1: By increasing lung expansion and preventing accumulation of secretions, deep breathing helps prevent pneumonia and atelectasis.
Rationale 2: These are nursing interventions and do not need to be prescribed by a physician.
Rationale 3: Although this may be true, it does not instruct the client as to the purpose of the exercises.
Rationale 4: Turning, deep breathing, and coughing exercises do not prevent thrombophlebitis.

Answer to Question 2

Correct Answer: 2
Rationale 1: Absence of bleeding is an indication of healing.
Rationale 2: If the wound becomes warm, red, and edematous, the nurse should suspect an infection and notify the physician.
Rationale 3: Edges that are well approximated is an indication of healing.
Rationale 4: Intact sutures is a sign of healing.

[Lobcity]

Excellent

[kusterl]

Gracias!