If a postoperative patient refuses to use an incentive spirometer, what should the nurse prioritize?

Prioritizing the determination of the reason for the patient's refusal to use an incentive spirometer allows the nurse to address any underlying concerns or misconceptions the patient may have. Understanding the patient's perspective is crucial in fostering effective communication and establishing trust. It opens the window for dialogue where the nurse can educate the patient about the importance of the incentive spirometer in preventing postoperative complications such as atelectasis.

Once the reason for refusal is identified, the nurse can provide tailored support — whether it be alleviating fears, providing additional information, or addressing physical discomfort that might be inhibiting the patient from using the device. This approach not only empowers the patient but also significantly contributes to their recovery process by ensuring they are actively involved in their own care.

Other actions, while potentially useful, may not directly address the underlying issue. Providing a brochure may give information but might not be effective if the patient has specific anxieties or misunderstandings. Encouragement to try again without addressing the patient's reasons may feel dismissive and could lead to further reluctance. Documenting the refusal is important for legal and medical records but should follow after understanding the patient's needs to better inform ongoing care strategies.