The nurse loosens mucus plugs by using percussion on a patient over the area of the:

sternum

thorax

midaxillary line on the rib cage

spine between the scapulae

Answer and Explanation

The Correct Answer is B

A) Sternum. Percussion over the sternum is ineffective and may cause discomfort.
B) Thorax. Percussion on the thorax helps loosen mucus in the underlying lung fields.
C) Midaxillary line on the rib cage. This area is not typically targeted for percussion.
D) Spine between the scapulae. Percussion on the spine is not advisable due to the potential for discomfort and ineffectiveness. The area between the scapulae is also less effective for loosening mucus compared to the thorax.

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Correct Answer is D

Explanation

A) Took five quick "huffs" and then coughed vigorously. Huff coughing is a technique used to clear secretions, but it is not the correct method for using an incentive spirometer.
B) Exhaled deeply and then inhaled quickly and forcefully three times. Rapid inhalation and exhalation do not promote effective lung expansion or alveolar recruitment.
C) Took five deep breaths slowly every 4 hours. This frequency is insufficient to prevent atelectasis and postoperative lung complications.
D) Took 10 slow, deep breaths every hour. Taking 10 slow, deep breaths every hour encourages full lung expansion and prevents complications such as atelectasis.

A. take a good nap B. turn, cough and deep breathe C. submit to a back rub D. take some pain medication

Correct Answer is C

Explanation

A. Take a good nap: While rest is important, shallow breathing and irritability may indicate inadequate ventilation, which won't improve solely with sleep.
B. Turn, cough, and deep breathe: This helps open the airways, promotes alveolar expansion, and clears secretions, which may improve oxygenation and reduce restlessness.
C. Submit to a back rub: Although comforting, it does not directly address shallow breathing or improve oxygenation.
D. Take some pain medication: Pain control can be essential, but this action is premature without assessing whether pain is the cause of shallow breathing.

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The nurse loosens mucus plugs by using percussion on a patient over the area of the:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse would determine that this patient is aware of how to use the incentive spirometer device properly when the patient:

Correct Answer is D

Explanation

Your patient is breathing shallowly and seems irritable and restless. A nursing action that might help is to have him:

Correct Answer is C

Explanation

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