A nurse is reinforcing teaching about how to use an incentive spirometer with a client. Which of the following statements should the nurse make?

"Inhale through the incentive spirometer 10 times with each use."

"Use the incentive spirometer once every 4 hours."

"Sit up at a 30-degree angle when using the incentive spirometer."

"Hold your breath for 7 seconds when using the incentive spirometer."

Answer and Explanation

The Correct Answer is A

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Correct Answer is C

Explanation

A. Explain alternatives to the procedure to the client.
The nurse should provide information about alternative treatments or procedures available to the client, ensuring they have a comprehensive understanding of their options.

B. Discuss the risks of the procedure with the client.
It is crucial for the nurse to communicate the potential risks and complications associated with the procedure to the client, allowing them to make an informed decision.

C. Confirm that the client is competent to sign for the procedure.
Before obtaining informed consent, the nurse should ensure that the client has the mental capacity to understand the information provided, make decisions, and provide consent.

D. Inform the client about what will occur during the procedure.
The nurse should educate the client about the details of the procedure, including what to expect before, during, and after. This information aids in the client's understanding and decision-making process.

A. Intact skin with localized erythema. B. Full thickness skin loss with visible bone C. Full thickness skin loss with visible adipose tissue. D. Partial-thickness skin loss with red tissue in wound bed.

Correct Answer is D

Explanation

A. Intact skin with localized erythema:
Explanation: This description is more consistent with a stage 1 pressure injury, where there is non-blanchable erythema.

B. Full thickness skin loss with visible bone:
Explanation: This description is more consistent with a stage 4 pressure injury, which involves extensive tissue loss, including exposure of bone.

C. Full thickness skin loss with visible adipose tissue:
Explanation: This finding is characteristic of a stage 3 pressure injury, where the loss of tissue extends down to the subcutaneous layer.

D. Partial-thickness skin loss with red tissue in the wound bed:
Explanation: This description is consistent with a stage 2 pressure injury, where there is partial-thickness skin loss involving the epidermis and possibly the dermis, forming a shallow open ulcer with a red-pink wound bed.

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A nurse is reinforcing teaching about how to use an incentive spirometer with a client. Which of the following statements should the nurse make?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about informed consent with a newly licensed nurse. Which of the following should be included as a responsibility of the nurse in this process?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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