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

took five quick "huffs" and then coughed vigorously

exhaled deeply and then inhaled quickly and forcefully three times

took five deep breaths slowly every 4 hours

took 10 slow, deep breaths every hour

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is A

Explanation

A. Use a 14-Fr catheter: This is the appropriate size for suctioning an adult to effectively remove thick secretions.
B. Use suction pressure between 120 and 160 mm Hg: This pressure is too high and may cause mucosal damage; 100 to 120 mm Hg is recommended for adults.
C. Use an 8-Fr catheter: This size is too small for effectively suctioning thick secretions in adults.
D. Use the catheter to suction the mouth and nasopharynx: Suctioning the mouth first contaminates the catheter, increasing the risk of infection in the nasopharynx.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is nasopharyngeal suctioning an adult patient to remove thick secretions. The nurse will:

Correct Answer is A

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

A patient requires suctioning via the nasotracheal route. In order to perform this procedure safely, the nurse should:

The nurse assists the patient with emphysema into the most beneficial position to facilitate respiration, which is:

A nurse is preparing to suction the airway of a client who has a tracheostomy. Identify the sequence of actions the nurse should take after performing hand hygiene. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

A nurse performing oral suctioning on an adult patient should set the wall suction machine so that the suction pressure is between:

A patient requires a precise concentration of 40% oxygen. Which of the following devices would best allow for this?

A nurse caring for a patient with a tracheostomy should determine whether the patient needs suctioning by:

The multiple causes for hypoxia include: (Select all that apply.)

A nurse is reinforcing teaching with a client who is having difficulty using an incentive spirometer. Which of the following instructions should the nurse include in the teaching?