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 D

Explanation

A) Endotracheal tube. An endotracheal tube is invasive and used for patients who require mechanical ventilation, not for simple airway maintenance.
B) Partial rebreather oxygen mask. A partial rebreather mask is used to deliver oxygen, not to maintain airway patency.
C) Tracheostomy. A tracheostomy is a surgical procedure for long-term airway management and is unnecessary in this scenario.
D) Pharyngeal airway. A pharyngeal airway helps maintain airway patency by preventing the tongue from obstructing the airway.

A. Loop the client's tubes carefully to prevent kinking. B. Clamp the tube when the client is ambulating. C. Place the client flat to avoid leaks in the tubing. D. Keep the collection device below the client's chest level.

Correct Answer is D

Explanation

A. Loop the client's tubes carefully to prevent kinking: Tubes should not be unnecessarily looped, as this may cause obstruction or tension.
B. Clamp the tube when the client is ambulating: Clamping increases the risk of tension pneumothorax and should be avoided unless prescribed for specific procedures.
C. Place the client flat to avoid leaks in the tubing: This position may compromise lung expansion; semi-Fowler’s or Fowler’s position is preferred.
D. Keep the collection device below the client’s chest level: This position uses gravity to prevent backflow of fluid or air into the pleural space.

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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

The nurse recognizes that a postoperative patient who can breathe independently but has trouble maintaining an airway because of the tongue falling back into the throat would be best benefitted by a(n)

Correct Answer is D

Explanation

A nurse is assisting with the care of a client who has a newly inserted chest tube. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

The nurse instructing the patient to perform forceful exhalation coughing would instruct the patient to take in:

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A nurse is assisting with the care of a client who has a chest tube. Which of the following actions should the nurse take?

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

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