You are caring for an older patient who is on complete bedrest. What interventions would you take to prevent respiratory complications?
  1. Monitoring vital signs routinely
  2. Decreasing oral fluid intake
  3. Turning the patient every two hours
  4. Instructing the patient to bear down every hour and hold their breath
Explanation
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.
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