A nurse is teaching a preoperative patient how to use an incentive spirometer. Which instruction should be included in the education to the patient?
Encourage the patient to perform incentive spirometry at least once a shift.
Instruct the patient to inhale normally and then place the lips securely around the mouthpiece and exhale quickly.
Instruct the patient to inhale slowly and as deeply as possible through the mouthpiece without using the nose.
Instruct the patient to exhale slowly as possible through the mouthpiece without using the nose.
The Correct Answer is C
The correct answer is choice C. Instruct the patient to inhale slowly and as deeply as possible through the mouthpiece without using the nose. Preoperative teaching on how to use an incentive spirometer is important to prevent postoperative respiratory complications such as atelectasis and pneumonia. Inhaling slowly and as deeply as possible through the mouthpiece without using the nose helps to open up the alveoli, promoting oxygen exchange in the lungs. The patient should be instructed to hold their breath for 3-5 seconds before exhaling slowly through the mouthpiece. The procedure should be repeated 10 times every hour while awake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A.This option is incorrect because a PVR of 400 mL is significantly higher than normal. Documenting without further intervention could lead to complications if the high residual volume persists.
B.While an external catheter may be beneficial for managing incontinence or monitoring urine output, it does not address the underlying issue of urinary retention. An external catheter would not relieve the retained urine in the bladder.
C.A post-void residual (PVR) of 400 mL is abnormally high, indicating that the bladder is not emptying effectively, which can lead to discomfort, urinary tract infection (UTI), and potential kidney issues if left untreated. An in-and-out catheterization allows for temporary relief by emptying the bladder and can also help prevent bladder distention. Contacting the physician to report the findings and obtain an order is appropriate to manage this condition safely.
D. Encouraging the client to attempt voiding again without intervention may not be effective in reducing the high PVR. This delay could increase the risk of bladder distention and discomfort.
Correct Answer is D
Explanation
The correct answer is choice D, alternating waves of air stimulate breathing. CPAP works by delivering a continuous stream of pressurized air through a mask, which is worn over the nose or nose and mouth while sleeping. This air pressure acts like a splint, holding the airway open and preventing it from collapsing during sleep. The alternating waves of air delivered by the CPAP machine help stimulate breathing, keeping the airway open and reducing the number of breathing pauses that occur during sleep. CPAP is a highly effective treatment for obstructive sleep apnea, a condition in which the airway becomes blocked during sleep, leading to breathing pauses and interrupted sleep. By keeping the airway open and stimulating breathing, CPAP helps to improve sleep quality, reduce daytime sleepiness, and improve overall health outcomes in people with sleep apnea.
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