The nurse is caring for a client at risk for atelectasis. The nurse implements a first- line measure to prevent atelectasis development in the client. What is an example of a first-line measure to minimize atelectasis?

Positive end-expiratory pressure (PEEP)

Intermittent positive-pressure breathing (IPPB)

Incentive spirometry

Bronchoscopy

Answer and Explanation

The Correct Answer is C

A. Positive end-expiratory pressure (PEEP): PEEP is used in mechanical ventilation to prevent atelectasis, but it's not a first-line approach for non-ventilated patients. It's used more in critical care settings.

B. Intermittent positive-pressure breathing (IPPB): IPPB helps with lung expansion but is not a standard first-line method. It's more used for specific cases requiring enhanced lung expansion.

C. Incentive spirometry: Incentive spirometry is the first-line measure for preventing atelectasis, especially in post-surgical or immobile patients. It promotes deep breathing and alveolar expansion, helping prevent lung collapse.

D. Bronchoscopy: Bronchoscopy is used for diagnostic or therapeutic purposes, like clearing airway obstructions, but it's not a preventive measure for atelectasis. It’s a more invasive intervention when necessary.

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Correct Answer is B

Explanation

A. Try jogging or running between flare-ups: High-impact exercises such as jogging or running can exacerbate fibromyalgia symptoms. Low-impact exercises, such as walking, swimming, or yoga, are better tolerated by clients with fibromyalgia and are recommended.

B. Establish a regular sleep pattern: Sleep disturbances are common in individuals with fibromyalgia, and poor sleep can worsen symptoms. Establishing a regular sleep pattern is crucial to help manage pain and fatigue associated with the condition.

C. Increase calcium intake: While calcium is important for overall health, increasing calcium intake does not help manage fibromyalgia symptoms. Focus should be on a balanced diet and managing symptoms through appropriate exercise, sleep, and pain management.

D. Avoid exercise during flare-ups: Exercise is important for managing fibromyalgia symptoms, even during flare-ups, but it should be adjusted to the client’s tolerance. Light, low-impact activities like stretching or walking can help reduce symptoms during flare-ups rather than complete inactivity.

A. Lubricate lips with water-soluble ointment. B. Use a straight edge razor to shave. C. Blow nose gently. D. Limit fruit consumption. E. Brush teeth with a soft toothbrush.

Correct Answer is ["A","C","E"]

Explanation

A. Lubricate lips with water-soluble ointment: Clients with thrombocytopenia may have dry, cracked lips due to reduced platelet function and increased risk of bleeding. A water-soluble ointment will prevent irritation without increasing the risk of bleeding.

B. Use a straight edge razor to shave: Straight razors can increase the risk of cuts and bleeding. Instead, the client should use an electric razor to minimize the risk of injury.

C. Blow nose gently: Clients with thrombocytopenia should be instructed to blow their nose gently to avoid causing trauma to the nasal mucosa and increasing the risk of bleeding. Vigorous nose blowing can cause small blood vessels in the nose to rupture.

D. Limit fruit consumption: There is no indication that fruit consumption should be limited in clients with thrombocytopenia unless the client has other dietary restrictions. Fruits are an important part of a balanced diet.

E. Brush teeth with a soft toothbrush: A soft toothbrush should be used to prevent gum injury and minimize the risk of bleeding when brushing teeth. A hard toothbrush could cause trauma to the gums, leading to bleeding.

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The nurse is caring for a client at risk for atelectasis. The nurse implements a first- line measure to prevent atelectasis development in the client. What is an example of a first-line measure to minimize atelectasis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has fibromyalgia syndrome about measures to reduce the occurrence of symptoms? Which of the following interventions should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is creating a teaching plan for a client who has thrombocytopenia. Which of the following instructions should the nurse include? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

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