A postoperative patient has shallow respirations and is reluctant to cough because of incisional pain. Which intervention best helps prevent atelectasis?
Correct answer: B. Encourage deep breathing, coughing and early mobilisation
- A. Keep the patient flat and limit movement
- B. Encourage deep breathing, coughing and early mobilisation
- C. Withhold analgesia until the patient can cough strongly
- D. Apply a tight abdominal binder without further instruction
Explanation
Deep breathing, supported coughing, adequate analgesia and early mobilisation help expand the lungs and clear secretions. Pain control should facilitate breathing and movement, not be withheld. A flat position and restricted activity increase the risk of retained secretions and atelectasis.
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About Perioperative Nursing
Covers preoperative assessment, informed consent, surgical preparation, anaesthesia, intraoperative safety and postoperative recovery. It includes sterile technique, surgical positioning, wound and drain care, pain and nausea management, fluid balance, prevention of infection and recognition of complications such as haemorrhage, atelectasis and shock.
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