MSNCB Medical-Surgical Nursing Exam Prep

Category - Medical Surgical

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:
  1. Encourage bed rest with active and passive range of motion exercises.
  2. Encourage frequent coughing and deep breathing.
  3. Turn him from side to side at least every 2 hours.
  4. 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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