The nurse is teaching the client to use an incentive spirometer.
What would the nurse include in the teaching plan?

Place the mouthpiece in the mouth and inhale through the mouthpiece.

Set an alarm to ring every hour at night to use the incentive spirometer.

Use the incentive spirometer only when shortness of breath occurs.

Inhale normally and then cough forcefully into the mouthpiece of the device.

Answer and Explanation

The Correct Answer is A

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.

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 rationale:

Calling the physician to request an antianxiety medication might address the client's anxiety, but it does not directly respond to the client's existential question about God punishing them.

Choice B rationale:

Sharing personal religious beliefs with the client can be inappropriate and may not align with the client's beliefs, potentially causing discomfort or offense.

Choice C rationale:

Sitting quietly with the client and offering caring touch demonstrates empathy, compassion, and presence. It allows the nurse to provide emotional support without imposing personal beliefs or judgments. This approach encourages the client to express their feelings and facilitates a therapeutic nurse-client relationship.

Choice D rationale:

Advising the client about a good worship center nearby does not directly address the client's existential question or provide emotional support. Additionally, the client may not be interested in religious activities at this moment.

A. Apply ankle restraints but leave the wrists unrestrained. B. Tie a double knot that is difficult to undo. C. Tie a slip knot to the side rails of the bed. D. Check on the patient frequently.

Correct Answer is D

Explanation

Choice A rationale:

Applying ankle restraints but leaving the wrists unrestrained is not a balanced approach. Restraints should only be used when necessary and should be applied correctly following the healthcare facility's policies and guidelines. Applying restraints to one part of the body while leaving another unrestrained can lead to injuries and is not a safe practice.

Choice B rationale:

Tying a double knot that is difficult to undo can be dangerous in emergency situations. Restraints should allow for quick release in case of emergencies, ensuring patient safety. Difficult-to-undo knots can delay the removal of restraints, leading to potential harm to the patient.

Choice C rationale:

Tying a slip knot to the side rails of the bed is unsafe and against restraint protocols. Slip knots can tighten when pulled, increasing the risk of injury to the patient. Restraints should be applied to designated areas and never tied to movable parts of the bed or other objects in the room.

Choice D rationale:

Checking on the patient frequently is the most appropriate action when a patient is in restraints. Regular monitoring ensures the patient's safety and well-being, assesses their comfort, and allows for prompt response to any signs of distress or discomfort. Frequent checks also help in preventing complications associated with immobilization, such as pressure ulcers and impaired circulation.

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 the client to use an incentive spirometer.What would the nurse include in the teaching plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A nurse has placed a patient in restraints and obtained doctor's orders for the restraint.Which action is appropriate for the nurse to conduct for a patient in restraints?

Correct Answer is D

Explanation

The nurse has an order for 27 mg of Augmentin three times daily for a 6-year-old. The pharmacy sends a vial labeled 20 mg/1 mL when reconstituted with 2.3 mL of saline. How many mL will the nurse administer per day?

Which statement regarding the anatomy and physiology of the respiratory system is correct?

The nurse explains isometric exercises to the patient on the rehabilitation unit.Which explanation provided by the nurse is accurate?

The patient is upset, crying, and mumbles something about her job, but the nurse doesn't hear what the patient said about her job.What is the nurse's best response?

The nurse is planning to obtain the pulse oximeter reading of a patient.What action by the nurse is correct?

The nursing staff are caring for a confused patient who is at risk for falling.What action by the nurse would be appropriate in order to avoid restraining the patient?

Which intervention would be appropriate for a client with shortness of breath?

A patient with Covid has been bedridden for the last 2 weeks.What effects does the nurse expect to find in a patient who has had minimal activity and mobility for 2 weeks?

The nurse is teaching the client to use an incentive spirometer.
What would the nurse include in the teaching plan?