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Progressive Care Nursing PCCN Exam Prep

Category - PCCN

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The nurse is caring for a 59-year-old male client with a known case of chronic obstructive pulmonary disease. The client had an appendectomy a day before. Which of the following is a priority intervention in preventing respiratory complications?
  1. Maintain the flow of oxygen at 4 to 5 L at all times
  2. Help client to turn to sides every 2 hours and ambulate around the room
  3. Have the client perform deep breathing exercises every morning and before sleeping
  4. Ensure that hourly nebulization is done
Explanation
Answer - B - Hypostatic pneumonia is a dangerous complication of surgery. Frequent turning and early ambulation ensure that secretions do not pool in the lungs. Administering oxygen does not prevent respiratory complications. Option C is incorrect. The client should perform this exercise at least once every hour. Option D is unnecessary unless the condition has worsened.
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