The practical nurse (PN) is explaining the use of an incentive spirometer to a postoperative client. The client asks the PN to administer an analgesic before using the spirometer. How should the PN respond?
Encourage the client to use the spirometer before receiving analgesia.
Offer to reschedule the spirometer instruction until several hours later.
Provide a PRN analgesic and then encourage use of the spirometer.
Reassure the client that use of the incentive spirometer is not painful.
The Correct Answer is C
A. Encouraging the client to use the spirometer before analgesia can increase discomfort and reduce effort, leading to ineffective deep breathing. Pain control should be optimized first to promote participation and proper technique.
B. Delaying instruction for several hours postpones an important postoperative intervention that helps prevent complications such as atelectasis. Early and consistent use of the spirometer is essential for optimal recovery.
C. Administering a PRN analgesic first improves comfort, allowing the client to take deeper breaths and use the spirometer effectively. This approach supports both pain management and respiratory function, making it the best choice.
D. Reassuring the client that the spirometer is not painful dismisses the client’s concern and does not address the need for pain control. Postoperative clients often experience pain with deep breathing, so appropriate analgesia is necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Encouraging a warm sleeping environment might exacerbate itching for some individuals.
Keeping fingernails trimmed short prevents skin damage from scratching and reduces the risk of infection.
Using skin lubricants can often alleviate pruritus by moisturizing the skin.
Tub baths with certain additives can exacerbate itching, but not all types of tub baths need to be avoided.
Correct Answer is ["A"]
Explanation
A. Mood alterations, including irritability and emotional lability, are common in individuals with Cushing's syndrome due to hormonal imbalances.
B. Hearing loss is not a known symptom or manifestation of Cushing's syndrome.
C. Impaired cognition might occur but isn't typically associated with overt anger or mood swings.
D. Memory loss isn't a primary symptom of Cushing's syndrome.
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