The nurse is providing education to a patient regarding the use of an incentive spirometer. Which patient statement requires further education?
“I will use this device 20 times per hour while I am awake each day."
“I should be in a sitting position when using this device."
“I will hold my breath for 3 seconds after I feel like I cannot inhale any more breath."
“I will exhale completely before placing my lips around the mouthpiece."
The Correct Answer is A
A. "I will use this device 20 times per hour while I am awake each day.": Correct. This statement requires correction. While frequent use is recommended, 10 times per hour is typically sufficient. Overuse may cause hyperventilation or dizziness.
B. "I should be in a sitting position when using this device.": Correct. A sitting or semi-Fowler’s position promotes lung expansion and is the proper position for using an incentive spirometer.
C. "I will hold my breath for 3 seconds after I feel like I cannot inhale any more breath.": Correct. Holding the breath allows for alveolar expansion and better lung recruitment.
D. "I will exhale completely before placing my lips around the mouthpiece.": Correct. Exhaling fully ensures that the next inhalation is deep and effective.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Suicidal thoughts without a plan are not a cause for concern: Any expression of suicidal thoughts, even without a specific plan, should be taken seriously. Individuals may still be at risk and require further assessment and intervention.
B. Suicide is the leading cause of death for Americans 50-65 years old: While suicide is a significant concern in this age group, it is not the leading cause of death. The leading causes of death for individuals aged 50-65 are heart disease and cancer.
C. Greater than 90% of individuals who commit suicide have a diagnosed mental health disorder: Research indicates that the vast majority of individuals who die by suicide have an underlying mental health disorder, such as depression, bipolar disorder, or substance use disorder.
D. 10,000 Americans commit suicide each year: The number is significantly higher. According to the CDC, over 48,000 Americans die by suicide annually.
Correct Answer is B
Explanation
A. Nonrebreather mask. A nonrebreather mask delivers high concentrations of oxygen but requires a tight seal around the face, which is not suitable for patients with facial trauma.
B. Face tent. A face tent is the best option for a patient with facial trauma as it provides high-flow oxygen without requiring direct contact with the face, preventing pressure on injured areas.
C. Nasal cannula. A nasal cannula provides low-flow oxygen and may be ineffective for a patient requiring high-flow therapy.
D. Venturi mask. A Venturi mask delivers precise oxygen concentrations but still requires a snug fit on the face, which may not be comfortable or feasible for a patient with facial trauma.
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