A client is 1 day postoperative after abdominal surgery. Which instruction helps prevent atelectasis?
1Practice shallow, slow breaths to reduce discomfort at the surgical site.
2Lie flat in bed and avoid any movement to minimize abdominal pressure.
3Avoid any coughing or deep breathing to prevent strain on the surgical incision.
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.
Clinical Judgment Postoperative lungs need expansion and secretion clearance.
Memory Tip Spirometer, cough, splint, move.
Clinical Practice GuidePostoperative pulmonary prevention includes deep breathing, incentive spirometry, coughing, pain control, and ambulation as tolerated.
CautionShallow breathing from pain can lead to atelectasis.
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.