CEN Practice Exam (Certified Emergency Nurse)

Answer: C - The patient should be turned every two hours to prevent respiratory complications. This helps to mobilize lung secretions and prevent pooling. The patient would be encouraged to drink more fluids to thin secretions. Cough and deep breathing exercise would be encouraged to promote mobilization of secretions. Vital signs would be taken every four hours to insure that no temperature had developed, which would indicate pneumonia.