What should the nurse do to increase client adherence to the treatment plan?
A client is unable to take a deep breath and doesn't want to get out of bed because his chest tube is causing discomfort.
1. Administer pain medication and delay client activity. B. Tell the client why lung expansion is important. C. Arrange a care schedule that includes rest periods. D. Teach the client how to use an incentive spirometer.
Administer pain medication and delay client activity.-rationale: administering pain medication and delaying any activity until the medication takes effect will increase client adherence to the treatment plan. explaining the purpose of the intended treatment is important but wont decrease the discomfort of the chest tube. providing rest periods is essential but wont relieve the clients discomfort. an incentive spirometer measures deep-breathing ability, prevents atelectasis, and acts as a visual progress chart for the client. teaching the client about incentive spirometry wont alleviate his discomfort.client needs category: physiological integrityclient needs subcategory: reduction of risk potentialcognitive level: analysisreference: craven, r.f., and hirnle, c.j. fundamentals of nursing: human health and function, 5th ed. philadelphia: lippincott williams & wilkins, 2007, p. 1191.