Question

the nurse is urging a client to cough and deep - breathe after a nephrectomy. the client tells the nurse, thats easy for you to say! you dont have to do this. the nurse interprets that the clients statement is likely a result of which contributing factor? answer options: 1. a stress response to the ordeal of surgery 2. a latent fear of needing dialysis if the surgery is unsuccessful 3. effects of circulating metabolites that have not been excreted by the remaining kidney 4. pain that is intensified because the location of the incision is near the diaphragm

Explanation:

After nephrectomy, the location of the surgical incision near the diaphragm can cause pain that is intensified during coughing and deep - breathing. This can make the client reluctant to follow the nurse's instruction. Stress response to the ordeal of surgery (Option 1) is too general. Fear of needing dialysis (Option 2) is not directly related to the immediate reluctance to cough and deep - breathe. Effects of circulating metabolites (Option 3) are not the main reason for the client's statement in this context.

Answer:

1. Pain that is intensified because the location of the incision is near the diaphragm