A nurse is demonstrating to a client how to perform diaphragmatic breathing. The nurse should educate the client to complete which action?
Raise both shoulders while breathing deeply.
Inhale through the mouth.
Exhale through the nose.
Tighten the abdominal muscles while exhaling.
The Correct Answer is D
The correct answer is d) Tighten the abdominal muscles while exhaling.
Choice A Reason:
“Raise both shoulders while breathing deeply” is incorrect. Diaphragmatic breathing focuses on using the diaphragm rather than the shoulders. Raising the shoulders can lead to shallow chest breathing, which is less effective for oxygen exchange.
Choice B Reason:
“Inhale through the mouth” is incorrect. For diaphragmatic breathing, it is recommended to inhale through the nose. This helps filter, warm, and humidify the air before it reaches the lungs.
Choice C Reason:
“Exhale through the nose” is incorrect. While exhaling through the nose is beneficial in some breathing exercises, diaphragmatic breathing typically involves exhaling through pursed lips. This technique helps slow down the exhalation and keeps the airways open longer.
Choice D Reason:
“Tighten the abdominal muscles while exhaling” is correct. Tightening the abdominal muscles helps push the diaphragm up, forcing air out of the lungs more efficiently. This action is a key component of effective diaphragmatic breathing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Applying compression stockings is a key prophylactic intervention to prevent complications of immobility, such as deep vein thrombosis (DVT) and venous thromboembolism (VTE). Compression stockings help improve blood circulation in the legs by applying graduated pressure, which reduces the risk of blood clots forming in the deep veins. This is particularly important for immobile patients who are at higher risk of developing DVT due to prolonged periods of inactivity.
Choice B reason: Raising all side rails is primarily a safety measure to prevent falls and does not directly address the complications of immobility. While it is important for patient safety, it does not have a significant impact on preventing issues like DVT, pressure ulcers, or muscle atrophy. Therefore, it is not considered a prophylactic intervention for immobility-related complications.
Choice C reason: Inserting a urinary catheter is not a prophylactic intervention for preventing complications of immobility. Catheters are used to manage urinary retention or incontinence but can increase the risk of urinary tract infections (UTIs) if not managed properly. They do not address the primary complications associated with immobility, such as DVT or pressure ulcers.
Choice D reason: Using friction-reducing devices is important for preventing pressure ulcers and skin injuries in immobile patients. These devices help minimize friction and shear forces on the skin, which can lead to pressure ulcers. While this is a valuable intervention, it is not as comprehensive as compression stockings in preventing a range of immobility-related complications.
Correct Answer is ["0.4"]
Explanation
Step-by-Step Calculation
Step 1: Identify the desired dose and the concentration of the medication.
Desired dose = 4 mg
Concentration = 10 mg/mL
Step 2: Set up the calculation to find the volume to administer.
Volume to administer (mL) = Desired dose (mg) ÷ Concentration (mg/mL)
Step 3: Perform the division.
4 mg ÷ 10 mg/mL = 0.4 mL
Step 4: Round the answer to the nearest whole number.
0.4 mL rounded to the nearest whole number is 0 mL
Step 5: Apply the instruction to use a leading zero if it applies and do not use a trailing zero.
The final volume to administer is 0.4 mL.
Therefore, the nurse should administer 0.4 mL of furosemide via IV bolus to the client.
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