KAPLAN FUNDAMENTALS A & B WITH
RATIONALE 2023 UPDATED AND EXPERT
VERIFIED ANSWERS WITH RATIONALES
The nurse helps a client to cough and deep breathe after surgery. It is desirable for
the client to assume which position?
Side-lying
Prone
Supine with one pillow
High Fowler's
High Fowler's- high Fowler's is the best position to deep breathe and cough.
Explanation
Side-lying impedes expansion of lungs; ask client to take two slow, deep breaths,
inhaling through nose and exhaling through mouth; inhale deeply third time and
cough.
Prone lying on abdomen; would not be able to expand lungs; lying prone will
prevent hip flexion.
Supine with one pillow ask client to splint abdominal wound with pillow;
administer analgesic prior to asking client to cough and deep breath
Overview
Cough and Deep Breathe (CDB)- After surgery or immobility for any period of
time, client develops pulmonary disorders; coughing and deep breathing (CDB)
will alleviate these problems; client might use an incentive spirometer or just take
several deep breathes and cough - deep cough; once mucus is disturbed the client
will cough it up; CDB is an independent nursing activity; each cycle of CDB
includes at least 3 deep breaths and a deep cough; at least 10 cycles every 1-2
hours.
The nurse identifies which diet best meets the needs of a person with multiple
wounds?
High-protein, low-fat, high-iron diet
High-vitamin C, high-protein, high-carbohydrate diet
High-vitamin A, high-calcium, high-fat diet
High-vitamin B, high-protein, low-carbohydr
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