The nurse is caring for a client who is in the final stages of cancer, is depressed and distant.
The client asks the nurse, "Why is God punishing me?" Which would be the most appropriate action for the nurse to take?

Choice A rationale:

The correct technique for using an incentive spirometer involves placing the mouthpiece in the mouth and inhaling slowly and deeply through the mouthpiece. This helps the client to take deep breaths, expand their lungs, and improve lung function. By inhaling through the mouthpiece, the client maximizes the benefits of the incentive spirometer, preventing complications such as atelectasis and pneumonia.

Choice B rationale:

Setting an alarm to ring every hour at night is not relevant to using the incentive spirometer. The frequency of using the incentive spirometer should be determined based on the healthcare provider's recommendation and the client's condition. Using it too frequently or infrequently can both have negative consequences.

Choice C rationale:

Using the incentive spirometer only when shortness of breath occurs is not the correct approach. Incentive spirometry is a preventive measure used to maintain lung function and prevent respiratory complications, especially after surgery. Waiting until shortness of breath occurs might be too late to prevent complications effectively.

Choice D rationale:

Inhaling normally and then coughing forcefully into the mouthpiece of the device is not the correct technique for using an incentive spirometer. Coughing into the device can damage it and render it ineffective. Inhaling deeply and slowly through the mouthpiece is the correct method to encourage optimal lung expansion and prevent respiratory complications.

Choice A rationale:

Electronic medical records being available even during a power outage is a significant advantage. This ensures healthcare providers can access critical patient information, which is essential for patient safety and continuity of care, especially during emergencies.

Choice B rationale:

Timely documentation is facilitated by electronic charting, as it eliminates the delays associated with manual paperwork. Healthcare providers can input data efficiently, reducing the risk of errors and ensuring that the patient's information is up-to-date.

Choice C rationale:

The patient's electronic medical record being available to all members of the healthcare team simultaneously promotes collaborative and coordinated care. This real-time access enables healthcare professionals to make informed decisions based on the most recent patient data, leading to improved patient outcomes.

Choice D rationale:

Continuous updates in the electronic medical record system enhance continuity of care. The ability to access the most recent information ensures that all healthcare providers are aware of the patient's current status, ongoing treatments, and any changes in their condition. This knowledge is vital for delivering safe and effective care.