The nurse is caring for a client who is post-op day 1 following abdominal surgery. The nurse notes that the client is taking shallow breaths and is guarding the incision site. The client has a temperature of 38.5 C, pulse 80, O2 88%, respirations 20, BP 110/86, and a WBC count of 10. The nurse assesses the client’s incision site and notes no redness or warmth. Which of the following interventions is most appropriate?
A preceptor asks a student nurse where carbon dioxide and oxygen exchange occurs in the lungs. Which response is correct?
A client with chest trauma has ABGs drawn. The nurse anticipates which scenario upon ABG analysis?
A 23-year-old client requires chest physiotherapy while in the hospital for treatment for cystic fibrosis. The nurse assists the respiratory therapist by helping the client with postural drainage. Which of the following actions best describes this process?
A female client presents to the ER reporting difficulty breathing. Upon assessment, the client reports “it feels like it’s squeezing all around my ribs when I try to take a deep breath and it’s making me nauseous.” What is the priority nursing intervention for this patient?
Prior to taking a client to the operating room for total knee replacement surgery, the nurse teaches the client about incentive spirometry to prepare for the post-operative period. Which information would the nurse most likely include during this teaching?
The nurse is assessing a client with atelectasis. Which of the following are expected findings? Select all that apply.
A nursing student observes a nurse performing cupping on a client. The student correctly understands which of the following as the reason for this?
A nursing student is assessing a client with atelectasis. The client asks the student about the purpose of turning, coughing, and deep breathing. Which response is correct?
The nurse is assessing a client who presented to the emergency room for shortness of breath. The client states, “I just cannot breath deeply, it feels like there is someone holding my ribs tight.” What is the priority for this client?
