Exhibits
The nurse is teaching Lily purse-lip breathing. She should instruct her to inhale slowly through her:
nose, then exhale more slowly through pursed lips
mouth, making her exhalation last three times longer than her inhalation
mouth, then exhale quickly through pursed lips
nose, making her inhalation last three times longer than her exhalation
The Correct Answer is A
A. Nose, then exhale more slowly through pursed lips: Pursed-lip breathing involves inhaling slowly through the nose and exhaling gently and slowly through pursed lips. This technique helps keep the airways open longer, promotes better gas exchange, and reduces shortness of breath.
B. Mouth, making her exhalation last three times longer than her inhalation: While prolonging exhalation is a goal of pursed-lip breathing, inhaling through the mouth does not support optimal airway conditioning.
C. Mouth, then exhale quickly through pursed lips: Exhaling quickly defeats the purpose of pursed-lip breathing, which is to slow down exhalation and prevent airway collapse. Inhaling through the mouth also bypasses natural airway filtering and warming.
D. Nose, making her inhalation last three times longer than her exhalation: The goal is to have a longer exhalation phase, not inhalation. Short inhalation and prolonged exhalation help reduce air trapping and improve oxygenation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["39.0"]
Explanation
Calculation:
To convert Fahrenheit to Celsius, use the formula:
C = (F−32) ×5/9
Given Fahrenheit temperature (F) = 102.2°F
- Subtract 32 from the Fahrenheit temperature.
102.2−32=70.2
- Multiply the result by 5/9
70.2× 5/9
=39
The temperature in Celsius is 39.0°C.
Correct Answer is B
Explanation
A. "I have cared for patients who were able to have the tracheostomy reversed. While this may offer hope, it shifts the focus to long-term outcomes rather than addressing the patient's current emotional state. Not all tracheostomies are reversible, and offering this reassurance prematurely may set unrealistic expectations.
B. “I understand that you might be apprehensive." This statement acknowledges the patient's anxiety and fosters trust. Demonstrating empathy helps reduce emotional distress, encourages open communication, and supports emotional adaptation to the tracheostomy.
C. “I will be efficient and give care quickly." Although efficiency is important, this response may come off as dismissive of the patient's emotional needs. It prioritizes task completion over patient-centered care and fails to address the underlying anxiety.
D. "I will wait until your tracheostomy heals before teaching." Teaching should begin early, even in small steps, to help the patient gradually understand and adapt to tracheostomy care. Delaying education may increase fear, uncertainty, and dependence on others for care.
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