A nurse is educating a preoperative client on how to effectively deep breathe. Which instruction would be included?
"Breathe in through the mouth and out through the nose."
"Make each breath deep enough to move the bottom ribs."
"Practice deep breathing at least once each week."
"Breathe through the mouth when you inhale and exhale."
The Correct Answer is B
When educating a preoperative client on how to effectively deep breathe, the nurse should instruct the client to make each breath deep enough to move the bottom ribs. This helps to ensure that the client is taking deep breaths and fully expanding their lungs. The other options (Breathe in through the mouth and out through the nose, Practice deep breathing at least once each week, and Breathe through the mouth when you inhale and exhale) are not accurate instructions for effective deep breathing.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The nurse's role in the informed consent process is to witness the client's signature on the consent form. It is the responsibility of the physician performing the procedure to explain the procedure, its risks and benefits, and to obtain the client's consent. The nurse can clarify information and answer questions, but it is not their responsibility to explain the procedure or obtain consent.
Correct Answer is A
Explanation
The nursing process consists of five phases: assessment, diagnosis, planning, implementation, and evaluation. During the assessment phase, the nurse gathers information about the client's health status and needs. In this scenario, the nurse is conducting a dressing change and notes a new area of skin breakdown. This observation is part of the assessment phase of the nursing process, as the nurse is gathering information about the client's condition. The other phases of the nursing process involve analyzing the information gathered during assessment (diagnosis), developing a plan of care (planning), carrying out interventions (implementation), and evaluating the effectiveness of care (evaluation).

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