The nurse is teaching a COPD patient how to perform pursed lip breathing. Which statement below is correct about pursed lip breathing?

Pursed lip breathing prevents atelectasis.

Pucker the lips like you are whistling.

Breathe slowly through the mouth for 4 counts.

Breathe out fast through the mouth for 2 counts.

Answer and Explanation

The Correct Answer is B

Choice A reason: Pursed lip breathing (PLB) prolongs exhalation to reduce air trapping in COPD but does not directly prevent atelectasis, which is alveolar collapse from shallow breathing or obstruction. PLB maintains positive airway pressure, improving gas exchange, but atelectasis prevention requires deep breathing exercises, making this statement incorrect for PLB’s primary function.

Choice B reason: Pucker the lips like whistling is the correct technique for pursed lip breathing, creating a small opening to slow exhalation. This increases airway pressure, preventing alveolar collapse in COPD and improving oxygen saturation. By prolonging exhalation, PLB reduces hyperinflation, enhancing respiratory efficiency, making this the accurate description of the technique.

Choice C reason: Breathing slowly through the mouth for 4 counts describes inhalation timing, not specific to pursed lip breathing’s exhalation focus. PLB involves nasal inhalation and slow exhalation through pursed lips to reduce air trapping in COPD. Incorrect inhalation instructions can disrupt the technique’s effectiveness in maintaining airway pressure and improving gas exchange.

Choice D reason: Breathing out fast through the mouth for 2 counts contradicts pursed lip breathing’s purpose of slow, controlled exhalation. Rapid exhalation in COPD exacerbates air trapping, worsening hyperinflation. PLB prolongs exhalation through pursed lips to maintain airway pressure, improving oxygenation and reducing respiratory distress, making this statement incorrect.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: In SBAR (Situation, Background, Assessment, Recommendation), chest pain is part of the Situation (S), describing the current issue. Background (B) includes relevant medical history, like angina, which causes chest pain due to myocardial ischemia from reduced coronary blood flow. Chest pain is the presenting symptom, not historical context, making it incorrect for B.

Choice B reason: Pulse rate of 108 is part of the Assessment (A) in SBAR, reflecting current vital signs. Background (B) provides historical context, such as the patient’s angina diagnosis, which predisposes to myocardial ischemia. Tachycardia may result from pain or hypoxia but is a current finding, not historical data, making it incorrect for B.

Choice C reason: History of angina is the Background (B) in SBAR, providing relevant medical history. Angina, caused by coronary artery narrowing, reduces myocardial oxygen supply, leading to chest pain. This context informs the current episode of pain and tachycardia, guiding assessment and treatment, making it the correct data for the Background component.

Choice D reason: Oxygen is needed is part of the Recommendation (R) in SBAR, suggesting an intervention. Background (B) includes past medical history, like angina, which explains the patient’s predisposition to chest pain. Recommending oxygen addresses current hypoxia but is not historical data, making it inappropriate for the Background section of SBAR.

A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Residual prevention

Correct Answer is A

Explanation

Choice A reason: Teaching calcium intake to prevent bone loss is primary prevention, aimed at reducing disease risk before it occurs. Calcium strengthens bone density, reducing osteoporosis risk by supporting osteoblast activity and mineralization. This proactive measure prevents bone loss in healthy individuals, addressing the physiological need for calcium to maintain skeletal integrity before pathology develops.

Choice B reason: Secondary prevention involves early detection of disease, like screening for osteoporosis via bone density scans. Teaching calcium intake aims to prevent bone loss before it occurs, not detect it. Calcium supports bone remodeling, but secondary prevention targets existing asymptomatic conditions, making this incorrect for a strategy focused on preventing initial bone loss.

Choice C reason: Tertiary prevention manages existing disease to prevent complications, like rehabilitation after an osteoporotic fracture. Teaching calcium intake prevents bone loss before disease onset, aligning with primary prevention. Calcium enhances bone strength, but tertiary prevention focuses on restoring function post-disease, not preventing initial bone density loss, making this incorrect.

Choice D reason: Residual prevention is not a recognized term in public health. Teaching calcium intake is primary prevention, as it promotes bone health to prevent osteoporosis. Calcium supports bone matrix formation, reducing fracture risk. Incorrect terms like residual prevention do not apply, as prevention levels are clearly defined as primary, secondary, or tertiary in medical practice.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is teaching a COPD patient how to perform pursed lip breathing. Which statement below is correct about pursed lip breathing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient was admitted 2 days ago with pneumonia and a history of angina. The patient is now having chest pain with a pulse rate of 108. Using the SBAR, which piece of data will the nurse use for B?

Correct Answer is C

Explanation

A nurse is teaching clients on the need for calcium intake to prevent bone loss. What level of prevention does this represent?

Correct Answer is A

Explanation

The nurse is to administer eye drops four times per day to a patient diagnosed with conjunctivitis. The nurse should administer the medication by gently dropping the medication onto which of the following areas?

A nurse measures a patient’s 24-hour fluid intake and documents the findings. To be an accurate indicator of fluid status, what must the nurse do with the information?

A nurse is teaching a client at risk for melanoma about what to look out for when checking the skin. The nurse determines that the teaching was successful based on which client statement(s)? (Select all that apply)

A nurse is caring for a client who is ambulating for the first time after surgery. Upon standing, the client reports dizziness and faintness. The client’s blood pressure is 90/50 mmHg. What is the name for this condition?

A client with a diagnosis of colorectal cancer has been presented with treatment options but wishes to defer any decisions to an uncle, who acts in the role of a family patriarch within the client’s culture. The client’s right to self-determination is best protected by:

Which laboratory result indicates the presence of malnutrition?

A nurse is assigned a client who has been admitted with a high fever. Which nursing skill should the nurse use at the first contact with the client?

A nurse is auscultating a client’s lung sounds and identifies crackles in the left lower lobe. Which of the following interventions should the nurse take?