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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. HCO3- 30 mEq/L: In chronic respiratory acidosis, the kidneys compensate by increasing bicarbonate (HCO3-) to buffer excess CO2.
B. Potassium 3.3 mEq/L: Respiratory acidosis is typically associated with hyperkalemia (high potassium), not hypokalemia (low potassium).
C. PaCO2 50 mm Hg: Respiratory acidosis is caused by CO2 retention, leading to an elevated PaCO2 (>45 mm Hg).
D. pH 7.45: A pH of 7.45 is normal or slightly alkalotic. Respiratory acidosis is characterized by a pH below 7.35.
Correct Answer is B
Explanation
A. Educating the patient on the surgical process. Preoperative education is important, but ensuring that all essential preoperative requirements are met takes precedence.
B. Ensuring the patient's preoperative checklist is complete. The preoperative checklist ensures that all necessary steps (e.g., consent, lab results, NPO status) are completed before surgery. Missing an essential step could delay or complicate the procedure.
C. Answering all questions for the patient about surgery. Answering questions is important but is not the priority over ensuring surgical readiness.
D. Admitting the patient to the facility. While admission is necessary, it does not take precedence over ensuring all preoperative preparations are complete.
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