A nurse is providing education to a postoperative client on how to use an incentive spirometer. Which of the following is an accurate step that should be included in the education plan?
Instruct the client to inhale slowly and as deeply as possible through the mouthpiece without using the nose.
Instruct the client to inhale normally and then place the lips securely around the mouthpiece.
Encourage the client to perform incentive spirometry 2 to 3 times every 1 to 2 hours, if possible.
When the client cannot inhale anymore, the client should hold his breath and count to 10.
The Correct Answer is A
When providing education to a postoperative client on how to use an incentive spirometer, an accurate step that should be included in the education plan is to instruct the client to inhale slowly and as deeply as possible through the mouthpiece without using the nose ¹⁴. This helps the client to take deep breaths and fully expand their lungs. The other options (Instruct the client to inhale normally and then place the lips securely around the mouthpiece, Encourage the client to perform incentive spirometry 2 to 3 times every 1 to 2 hours, if possible, and When the client cannot inhale anymore, the client should hold his breath and count to 10) are not accurate steps that should be included in the education plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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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).
Correct Answer is A
Explanation
A clear liquid diet consists of foods and fluids that are clear and liquid at room temperature. This includes items such as Jell-O, carbonated beverages, and apple juice. These foods and fluids are easily digested and leave no residue in the intestinal tract, making them appropriate for certain medical conditions or procedures.
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