Practice Quiz

CRNE Exam Prep

Category - Changes in Health

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A nurse is caring for an eighty-year-old female client who is bedridden. The nurse would include the following nursing actions in the care plan, to prevent respiratory complications, except:
  1. Instruct the client to bear down and hold her breath every two hours
  2. Monitor the client’s vital signs every four hours
  3. Turn the client every two hours
  4. Teach the client deep breathing and coughing exercises
Explanation
Answer: A - Bearing down and holding the breath must be avoided. Teaching deep breathing exercises, frequent turning, and increasing the client’s fluid intake can prevent pooling of thick respiratory secretions. Frequent monitoring of vital signs can help identify early signs of infections, such as an increased body temperature.
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