You are teaching your COPD patient the proper technique for pursed-lip breathing. Which of the following would BEST demonstrate effective technique?
Inhaling for 2 seconds through pursed lips, then exhaling for 4 seconds out the nostrils
Inhaling and exhaling through pursed lips, with the cheeks puffed out
Exhaling every other breath through pursed lips
Inhaling for 2 seconds through the nose, then exhaling for 4 seconds out the lips
The Correct Answer is D
A. Inhalation should be through the nose, not the mouth.
B. Cheeks should remain relaxed.
C. Pursed-lip breathing should be done with every breath.
D. Inhaling for 2 seconds through the nose, then exhaling for 4 seconds out the lips is the correct technique. It involves slow, deep breaths and prolonged exhalation to help control breathing and reduce shortness of breath.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The patient should be the only one to control the PCA pump. This is to prevent overmedication and to ensure the patient is in control of their pain management.
B. While it's important to use the PCA responsibly, the device is designed to prevent overdose. It has built-in safeguards to limit the amount of medication delivered.
C. This statement indicates that the patient understands the importance of communicating with the nurse about pain management. If the PCA is not effectively controlling pain, the nurse needs to be notified to adjust the medication or explore other options.
D. The PCA is designed to be used proactively to manage pain, not reactively when pain is severe. Waiting until pain is unbearable can make it more difficult to control.
Correct Answer is ["D","E"]
Explanation
A. Pink mucous membranes indicates adequate oxygenation, which is a positive sign.
B. SpO2 of 97% is a normal oxygen saturation level and does not indicate respiratory decline.
C. While wheezing is a common symptom of an asthma attack, it doesn't necessarily indicate worsening respiratory status. It can be present even in mild to moderate attacks.
D. Retraction of sternal muscles is a sign of severe respiratory distress, indicating that the patient is working extremely hard to breathe.
E. An increased heart rate can be a sign of the body trying to compensate for decreased oxygen levels, indicating worsening respiratory status.
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