A nurse is providing preoperative teaching about using an incentive spirometer for a client. Which of the following instructions should the nurse include?
"Place the head of the bed flat before using the incentive spirometer."
"Hold your breath for 2 to 3 seconds when using the incentive spirometer."
"Use the incentive spirometer every 3 hours while awake."
"Breathe in through your nose when using the incentive spirometer."
The Correct Answer is B
A. "Place the head of the bed flat before using the incentive spirometer." The client should be in a semi-Fowler’s or high-Fowler’s position (sitting upright) to maximize lung expansion.
B. "Hold your breath for 2 to 3 seconds when using the incentive spirometer." Holding the breath allows for maximum lung expansion and helps prevent atelectasis (lung collapse).
C. "Use the incentive spirometer every 3 hours while awake." The incentive spirometer should be used every 1 to 2 hours while awake to promote lung expansion and prevent complications such as pneumonia.
D. "Breathe in through your nose when using the incentive spirometer." The client should inhale deeply through the mouth, not the nose, to ensure proper lung inflation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Place the head of the bed flat before using the incentive spirometer." The client should be in a semi-Fowler’s or high-Fowler’s position (sitting upright) to maximize lung expansion.
B. "Hold your breath for 2 to 3 seconds when using the incentive spirometer." Holding the breath allows for maximum lung expansion and helps prevent atelectasis (lung collapse).
C. "Use the incentive spirometer every 3 hours while awake." The incentive spirometer should be used every 1 to 2 hours while awake to promote lung expansion and prevent complications such as pneumonia.
D. "Breathe in through your nose when using the incentive spirometer." The client should inhale deeply through the mouth, not the nose, to ensure proper lung inflation.
Correct Answer is B,C,E,A,D
Explanation
- Assist the client into a sitting position in a chair. Ensures comfort and stability before starting foot care.
- Soak the client's feet in warm water. Softens the skin and makes cleaning easier.
- Rub callused areas of the client's feet using a washcloth. Helps remove dead skin and promotes circulation.
- Gently dry the client's feet and areas between the toes with a towel. Prevents moisture buildup, which can lead to fungal infections.
- Apply lotion to the client's feet. Moisturizes the skin but should not be applied between the toes to prevent excessive moisture retention and fungal growth.
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