# A client is 1 day postoperative after abdominal surgery. Which instruction helps prevent atelectasis?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394091&lang=en  
> language: en  
> subject: Complications of Procedures  
> category: ROR

## Question

A client is 1 day postoperative after abdominal surgery. Which instruction helps prevent atelectasis?

## Option

1. Avoid coughing because it can open the incision.
2. Remain flat in bed to reduce abdominal strain.
3. Use shallow breathing to limit pain.
4. Use the incentive spirometer regularly and splint the incision when coughing. **✔ Correct answer**

**Correct answer: 4**

## 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.

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