The nurse knows that teaching about the use of the spirometer incentive is effective when the client seals the lips around the mouthpiece and:

inhales slowly to raise the ball to the desired level, and attempts to keep the ball raised for several seconds

blows into the mouthpiece with a long slow expiration to keep the ball at the base of the spirometer.

begins breathing with a rapid, forceful inspiration to raise the ball as high as possible.

exhales slowly to raise the ball to the desired level, and quickly inhales to raise the ball again.

Answer and Explanation

The Correct Answer is A

Choice A rationale: Inhaling slowly to raise the ball to the desired level and attempting to keep the ball raised for several seconds is the correct technique for using an incentive spirometer.

Choice B rationale: Blowing into the mouthpiece with a long slow expiration is not the correct technique for using an incentive spirometer.

Choice C rationale: Beginning breathing with a rapid, forceful inspiration is not the recommended technique for using an incentive spirometer.

Choice D rationale: Exhaling slowly to raise the ball and quickly inhaling is not the correct technique for using an incentive spirometer.

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Correct Answer is B

Explanation

Choice A rationale: Administration predicting overtime costs is not a recognized advantage of delegation.

Choice B rationale: Skills of the nursing team can be used more effectively, allowing tasks to be delegated to the appropriate individuals and promoting efficient care delivery.

Choice C rationale: Clients do not necessarily receive less attention due to delegation if it is done effectively.

Choice D rationale: Nurses reporting more pressure to perform necessary tasks themselves is not a recognized advantage of delegation.

A. Inflammatory B. Proliferation C. Remodeling D. Infection

Correct Answer is A

Explanation

Choice A rationale: An inflammatory response, including mild fever and malaise, is common during the inflammatory phase of healing, which occurs in the initial postoperative period.

Choice B rationale: Proliferation is the phase of healing characterized by tissue repair and regeneration, not by fever and malaise.

Choice C rationale: Remodeling is the final phase of healing involving tissue maturation and strengthening, not associated with generalized body responses.

Choice D rationale: Infection is a separate complication and may present with more severe symptoms than mild fever and malaise.

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The nurse knows that teaching about the use of the spirometer incentive is effective when the client seals the lips around the mouthpiece and:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An advantage of delegation in client care is that:

Correct Answer is B

Explanation

A client has had an uncomplicated repair of an inguinal hernia. On the second post- operative day, the client has mildly elevated temperature and general malaise. The nurse recognizes that this is a generalized body response which is common to which phase of healing?

Correct Answer is A

Explanation

An alert, competent client refuses to take her antihypertensive medication. The nurse has explained why the medication is important and the client states that she understands but doesn't want to take the medication. What is the best nursing action?

A client has a serum potassium level of 6.3 mEq/L. The nurse recognizes that the highest priority intervention(s) for this client are to: (SELECT ALL THAT APPLY)

The best way for the nurse to assess a client's level of dyspnea is to:

The nurse is administering medications to a group of clients. Which client(s) warrant(s) the nurse's special attention when considering pharmacokinetics? The client(s) who has (have) a medical diagnosis of: (SELECT ALL THAT APPLY)

The nurse recognizes that the application of heat therapy is appropriate for which client? The client who:

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The nurse is to administer a volume of 2 mL intramuscularly (IM) to a 150-pound client. Assuming that there are no skin problems, which is the preferred site for the injection?