ANCC Medical-Surgical Nursing Exam Prep

Category - Pulmonary

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To promote continued improvement in the respiratory status of a client following chest tube removal after a chest surgery for multiple rib fracture, the nurse should:

Encourage bed rest with active and passive range of motion exercises.
Encourage frequent coughing and deep breathing.
Turn him from side to side at least every 2 hours.
Continue observing for dyspnea and crepitus.

Explanation

Answer - B - Encourage frequent coughing and deep breathing. This nursing action prevents atelectasis and collection of respiratory secretions and promotes adequate ventilation and gas exchange.

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