The physician orders azithromycin 500 mg in 250 mL of D5W IVPB to be infused over 1.5 hours. Tubing drop factor is 15 gtt/mL Calculate the flow rate in drops per minute.

A. It causes only mild discomfort at the site the probe is placed:Pulse oximetry is noninvasive and typically does not cause any discomfort unless the probe is left on too long or applied too tightly.

B. It requires insertion of only a small catheter in one nostril:This refers to oxygen delivery via nasal cannula, not pulse oximetry. Mentioning catheter insertion may increase the client’s apprehension, as it implies an invasive procedure, which pulse oximetry is not.

C. It is painless and safe:Pulse oximetry is a noninvasive method that uses light to measure oxygen saturation through a fingertip or earlobe, making it both painless and very safe for continuous monitoring.

D. It has an alarm to signal dangerous drops in oxygen levels:While accurate, focusing on alarms may heighten the client’s anxiety by implying that dangerous events are expected. This information is more relevant after the client is reassured about the procedure’s safety.

A. “I will rest my hand over my abdomen to create resistance.” This technique is used for diaphragmatic breathing exercises, not incentive spirometry. It does not help assess or improve lung expansion, which is the primary goal of using the incentive spirometer.

B. “I will lie on my back with my knees bent.” While lying down may be appropriate for some breathing exercises, the incentive spirometer is best used in a sitting or upright position. Sitting allows for maximal lung expansion and facilitates more effective use of the device.

C. “I will place the adapter on my finger to read my blood oxygen saturation level.” This describes the use of a pulse oximeter, not an incentive spirometer. The spirometer measures inspiratory volume, while pulse oximetry is used to monitor oxygen saturation.

D. "I will take in a deep breath and hold it before exhaling." The client should inhale slowly and deeply through the mouthpiece, hold the breath for several seconds to promote alveolar inflation, then exhale. This process helps prevent atelectasis and promotes lung expansion.