A nurse is providing education to a postoperative client on how to use an incentive spirometer. Which of the following is an accurate step that should be included in the education plan?

Instruct the client to inhale slowly and as deeply as possible through the mouthpiece without using the nose.

Instruct the client to inhale normally and then place the lips securely around the mouthpiece.

Encourage the client to perform incentive spirometry 2 to 3 times every 1 to 2 hours, if possible.

When the client cannot inhale anymore, the client should hold his breath and count to 10.

Answer and Explanation

The Correct Answer is A

When providing education to a postoperative client on how to use an incentive spirometer, an accurate step that should be included in the education plan is to instruct the client to inhale slowly and as deeply as possible through the mouthpiece without using the nose ¹⁴. This helps the client to take deep breaths and fully expand their lungs. The other options (Instruct the client to inhale normally and then place the lips securely around the mouthpiece, Encourage the client to perform incentive spirometry 2 to 3 times every 1 to 2 hours, if possible, and When the client cannot inhale anymore, the client should hold his breath and count to 10) are not accurate steps that should be included in the education plan.

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Correct Answer is A

Explanation

An unlicensed assistive person (UAP) is a healthcare worker who is not licensed to perform nursing tasks but can assist with basic care under the supervision of a licensed nurse. Taking and recording vital signs is a task that can be delegated to a UAP. Making a bed and assisting with bathing are also tasks that can be delegated to a UAP. However, an unlicensed assistive person may not delegate tasks to others as they are not licensed to do so.

A. Pulse deficit B. Pulse rhythm C. Pulse rate D. Pulse amplitude

Correct Answer is D

Explanation

The number "+3" in this documentation represents the pulse amplitude. Pulse amplitude refers to the strength or force of the pulse and is typically measured on a scale of 0 to 4+. A "+3" pulse is considered to be full or strong, indicating good blood ﬂow to the area being palpated.

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A nurse is providing education to a postoperative client on how to use an incentive spirometer. Which of the following is an accurate step that should be included in the education plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An unlicensed assistive person (UAP) is working in a rehabilitation unit. Which task would be appropriate for this person to delegate?

Correct Answer is A

Explanation

A nurse palpates the pulse of a client and documents the following: 6/6/12 pulse 85 and regular, 3+ and equal in radial, popliteal, and dorsalis pedis. What does the number "+3" represent?

Correct Answer is D

Explanation

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