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."

Answer and Explanation

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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Free Nursing Study Resources

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.

A. Intensity of pain levels decrease as people age. B. The client is less likely to respond to analgesics. C. Pain is an expected finding for an older adult. D. The client may under-report their pain intensity.

Correct Answer is D

Explanation

A. "Intensity of pain levels decrease as people age."
Pain perception does not necessarily decrease with age. Older adults experience pain similarly to younger individuals, but they may express it differently.
B. "The client is less likely to respond to analgesics." Older adults respond to analgesics, but they may be more sensitive to certain medications due to age-related physiological changes. Appropriate dosing and monitoring are essential.
C. "Pain is an expected finding for an older adult." Pain is not a normal part of aging. While some chronic conditions associated with aging can cause pain, it should always be assessed and treated appropriately.
D. "The client may under-report their pain intensity."
Older adults may under-report pain due to factors such as fear of being a burden, belief that pain is a normal part of aging, or concerns about medication side effects. Nurses should use appropriate pain assessment tools to evaluate and address their pain effectively.

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A nurse is providing preoperative teaching about using an incentive spirometer for a client. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

44. A nurse is preparing to provide foot care for a client who is ambulatory. Identify the sequence of steps the nurse should follow when performing foot care. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is B,C,E,A,D

Explanation

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Correct Answer is D

Explanation

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