3. To prevent complications of immobility, which activities would the nurse plan for the first postoperative day after a colon resection?
A. Turn, cough, and deep breathe every 30 minutes around the clock
B. Get the client out of bed and ambulate to a bedside chair
C. Provide passive range of motion three times a day
D. It is not necessary to worry about complications of immobility on the first postoperative day
4. In the recovery room, the postoperative client suddenly becomes cyanotic. What is the most appropriate nursing action?
A. Start administration of oxygen through a nasal cannula
B. Call for assistance
C. Reposition the head and determine patency of airway
D. Insert an oral airway and suction the nasopharynx
3. B. Weight bearing increases the vascular tone and decreases venous stasis, thereby preventing thrombi from developing; the increase in activity increases respiratory expansion and quality of breathing
4. C. It is important to determine if the airway is patent and whether the client is breathing. If there is a lot of mucus and gurgling in the upper airway, the client should be suctioned. The airway must be assessed before determining a course of action