Fundamentals Question #38

Question

Which nursing intervention is appropriate to prevent a client from developing pneumonia after surgery?

Answers

  1. Instruct to report pain before it gets too intense
    • Rationale:
  2. Instruct to move their legs and arms while in the bed
    • Rationale:
  3. Instruct to use the incentive spirometer every hour while awake.
    • Rationale:
  4. Instruct to turn in the bed every 4-6 hours
    • Rationale:

Overview

Explanation

The correct answer is option C. The incentive spirometer helps to inflate the lungs to decrease the risk of pneumonia. Reporting pain does not decrease the risk of pneumonia. Moving the arms and legs while in bed may decrease the risk of a pulmonary embolism, it does not decrease the risk of pneumonia. A client should be turned every 2 hours to decrease the risk of pneumonia.

Learning Outcomes

Test Taking Tip

Video Rationale