A client is 1 day postoperative after abdominal surgery. Whi… | MyMerci
Complications of ProceduresROR
Question
A client is 1 day postoperative after abdominal surgery. Which instruction helps prevent atelectasis?
1Avoid coughing because it can open the incision.
2Remain flat in bed to reduce abdominal strain.
3Use shallow breathing to limit pain.
4Use the incentive spirometer regularly and splint the incision when coughing.✓ Correct answer
Explanation
Incentive spirometry, coughing, deep breathing, early mobility, and splinting help prevent postoperative atelectasis. Avoiding cough and deep breathing increases secretion retention and alveolar collapse. Pain control also supports effective breathing.
In-depth explanation
Clinical Judgment Postoperative lungs need expansion and secretion clearance.
Memory Tip Spirometer, cough, splint, move.
Clinical scenario
Clinical Practice Guide Postoperative pulmonary prevention includes deep breathing, incentive spirometry, coughing, pain control, and ambulation as tolerated.
Caution Shallow breathing from pain can lead to atelectasis.
Key concepts
Atelectasis — Collapse or incomplete expansion of lung tissue.
Incentive Spirometer — A device that encourages slow deep inhalation.
Splinting — Supporting an incision during coughing or movement to reduce pain.