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

in the morning immediately after breakfast

shortly after the patient arises in the morning, before breakfast

30 minutes after lunch

1 hour after supper

Answer and Explanation

The Correct Answer is B

A) In the morning immediately after breakfast. Performing postural drainage after eating may induce nausea and vomiting.
B) Shortly after the patient arises in the morning, before breakfast. This timing allows mucus to drain more effectively since the patient has been lying down overnight, and an empty stomach minimizes the risk of vomiting.
C) 30 minutes after lunch. Postural drainage should be performed at least 1 to 2 hours after meals to prevent gastrointestinal discomfort.
D) 1 hour after supper. While this timing is better than immediately after eating, morning sessions are generally more effective.

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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.

A. be monitored for respiratory rate B. have the cuff pressure checked C. have the pharynx suctioned D. be administered extra oxygen

Correct Answer is C

Explanation

A. Be monitored for respiratory rate: Important for ongoing assessment but not directly related to the deflation process.
B. Have the cuff pressure checked: Necessary during care but not immediately before deflation.
C. Have the pharynx suctioned: Suctioning clears secretions that could be aspirated when the cuff is deflated.
D. Be administered extra oxygen: Beneficial but not a direct prerequisite for cuff deflation.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

The nurse recognizes that, immediately before a tracheostomy cuff deflation, the patient should:

Correct Answer is C

Explanation

Older adults are more prone to respiratory problems because aging causes which change?

A nurse is reinforcing teaching with a client who has a prescription for home oxygen therapy. Which of the following instructions should the nurse include?

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

The multiple causes for hypoxia include: (Select all that apply.)

A patient has collapsed and cannot be aroused by asking loudly, "Are you okay?" The next action should be to:

What is the most common cause of airway obstruction in the unconscious person?

A nurse is reinforcing teaching with a newly licensed nurse about the manifestations of hypoxia. Which of the following findings should the nurse include in the teaching?

A patient who will begin oxygen therapy has a history of sinus disorders. This patient would benefit most from which oxygen setup?