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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A) "Repeat your breathing exercise every 2 hrs." Repeating breathing exercises should be done a couple of times every hour to help prevent postoperative complications such as atelectasis and pneumonia.
B) "Inhale through your mouth." Clients should inhale through their nose to filter, warm, and humidify the air.
C) "Hold your breath for 5 seconds." Holding the breath for 5 seconds allows for better lung expansion and optimal oxygen exchange.
D) "Exhale through your nose." Clients are generally advised to exhale through pursed lips to create positive airway pressure and prevent airway collapse.

A. directly over the umbilicus B. directly over the sternum C. between the umbilicus and the symphysis pubis D. halfway between the xiphoid process and the umbilicus

Correct Answer is D

Explanation

A. Directly over the umbilicus: This position is too low and would not generate effective pressure on the diaphragm.
B. Directly over the sternum: Applying pressure here risks injury to the chest cavity without effectively relieving airway obstruction.
C. Between the umbilicus and the symphysis pubis: This position is too low and ineffective for compressing the diaphragm.
D. Halfway between the xiphoid process and the umbilicus: This is the correct hand placement for the Heimlich maneuver to produce effective inward and upward pressure, dislodging the obstruction.

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The nurse instructing the patient to perform forceful exhalation coughing would instruct the patient to take in:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing preoperative teaching for a client about coughing and deep breathing. Which of the following statements should the nurse make?

Correct Answer is C

Explanation

The nurse monitoring patients eating in the dining room of a skilled nursing facility notes that a patient begins choking. As the nurse prepares to deliver the Heimlich maneuver, the fist should be positioned:

Correct Answer is D

Explanation

A nurse caring for a patient with a tracheostomy should determine whether the patient needs suctioning by:

The nurse is aware that the best time to schedule a postural drainage treatment is

A patient requires suctioning via the nasotracheal route. In order to perform this procedure safely, the nurse should:

A nurse in a long-term care facility sees a client who is choking. Which of the following data should the nurse identify as requiring an abdominal thrust?

A nurse is nasopharyngeal suctioning an adult patient to remove thick secretions. The nurse will:

A nurse is assisting with the care of a client who has a chest tube. Which of the following actions should the nurse take?

A provider is discharging a client with a prescription for home oxygen therapy. The nurse should reinforce which of the following instructions with the client and his family? (Select all that apply.)

A nurse is reinforcing teaching with a client who is having difficulty using an incentive spirometer. Which of the following instructions should the nurse include in the teaching?