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

Understanding the client's reasons for refusing to use an incentive spirometer is essential for several reasons. First, it allows the nurse to ascertain whether the refusal stems from a lack of understanding about the device's importance in preventing complications like atelectasis, or if there are other barriers such as pain or discomfort. By engaging the client in a discussion about their concerns, the nurse can provide tailored education, reassurance, or even modify the approach to using the spirometer. This proactive communication fosters a supportive environment, encourages the client’s participation in their care, and ultimately promotes better health outcomes.

Addressing other options presents additional context in understanding why seeking to understand the client's refusal is the most effective first step. Involving a respiratory therapist may be valuable, but it may not address the immediate concerns or reasons behind the client's refusal. Documenting the refusal is important for medical records, but it does not contribute to resolving the underlying issue. Administering pain medication may be necessary if pain is a factor, but without first understanding the client's perspective, the nurse may miss an essential opportunity to address the refusal more effectively. Prioritizing communication about the client's refusal sets the stage for a more patient-centered approach to care.