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."

Answer and Explanation

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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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.

A. Dopamine B. Serotonin C. Norepinephrine D. Histamine

Correct Answer is B

Explanation

A. Dopamine: Dopamine is mainly involved in motivation, pleasure, and movement. Deficiencies are linked to Parkinson’s disease and schizophrenia rather than sleep and memory issues.

B. Serotonin: Serotonin plays a major role in regulating sleep, mood, and cognitive function. Low serotonin levels are associated with depression, sleep disturbances, and memory problems.

C. Norepinephrine: Norepinephrine is involved in alertness and the fight-or-flight response. While it affects attention and arousal, its deficiency is less directly linked to sleep dysregulation and memory loss.

D. Histamine: Histamine is primarily involved in wakefulness and allergic responses. While it plays a role in arousal, it is not the primary neurotransmitter for sleep regulation and memory.

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The nurse is providing education to a patient regarding the use of an incentive spirometer. Which patient statement requires further education?

Nursing Test Bank

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