The nurse instructing the patient to perform forceful exhalation coughing would instruct the patient to take in:
two deep breaths, then inhale deeply again and force out the air quickly.
one deep breath and quickly exhale
one breath, hold it for 3 seconds, then forcefully exhale three times with mouth open
two breaths and force the air out quickly
The Correct Answer is A
A. Two deep breaths, then inhale deeply again and force out the air quickly: This technique helps clear mucus by mobilizing it toward the larger airways for expulsion.
B. One deep breath and quickly exhale: This method is less effective in mobilizing secretions compared to multiple preparatory breaths.
C. One breath, hold it for 3 seconds, then forcefully exhale three times with mouth open: Holding the breath promotes mucus loosening, and repeated exhalations help clear secretions. While this technique can be correct in some protocols, it is less common for "forceful" cough instructions and may not be the preferred method.
D. Two breaths and force the air out quickly: Lacks the preparatory deep breath necessary for effective secretion clearance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. 25 and 50 mm Hg: This pressure is insufficient to effectively clear oral secretions.
B. 80 and 120 mm Hg: Recommended for safe and effective oral suctioning to prevent mucosal trauma while adequately clearing secretions.
C. 120 and 180 mm Hg: Excessive pressure can cause mucosal damage and trauma.
D. 50 and 75 mm Hg: This pressure is too low to be effective for adult oral suctioning.
Correct Answer is A
Explanation
A. Start slowly and increase volume over several sessions: Gradually increasing lung volume improves compliance and helps clients build confidence with the device.
B. Be much more vigorous in increasing increments: Rapid or forceful attempts can cause hyperventilation or dizziness and are not recommended.
C. Do regular deep-breathing exercises instead: Deep breathing can be helpful but does not replace the targeted lung expansion benefits of the incentive spirometer.
D. Use another device because this one might be faulty: Device failure is rare; user education is usually more effective.
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