A nurse is reinforcing teaching about how to use an incentive spirometer with a client. Which of the following statements should the nurse make?

"Inhale through the incentive spirometer 10 times with each use."

"Use the incentive spirometer once every 4 hours."

"Sit up at a 30-degree angle when using the incentive spirometer."

"Hold your breath for 7 seconds when using the incentive spirometer."

Answer and Explanation

The Correct Answer is A

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Correct Answer is A

Explanation

A. Reposition the client every 2hr:
Regular repositioning helps redistribute pressure and prevent tissue damage. Turning the client every 2 hours is even better, especially for those at higher risk.

B. Elevate the head of the client's bed 45°:
Elevating the head of the bed can reduce pressure on the sacral area, which is a common site for pressure injuries. However, this alone is not sufficient, and regular repositioning should still be implemented.

C. Massage the client's bony prominences:
Massaging bony prominences can cause friction and shear, potentially increasing the risk of skin breakdown. This action is generally not recommended.

D. Provide the client with a high-calorie diet:
While proper nutrition is important for overall health, a high-calorie diet alone may not directly prevent pressure injuries. Adequate protein intake is particularly crucial for tissue repair and skin integrity.

A. Inject 10 units of air into the regular insulin vial. B. Inject 20 units of air into the NPH insulin vial. C. Withdraw 10 units of air from the regular insulin vial. D. Withdraw 20 units of air from the NPH insulin vial.

Correct Answer is B, A, C, D

Explanation

B. Inject 20 units of air into the NPH insulin vial. Injecting air into the NPH vial first helps equalize the pressure. A. Inject 10 units of air into the regular insulin vial. This prepares the regular insulin vial for withdrawal without creating a vacuum. C. Withdraw 10 units of regular insulin. After injecting air into the regular insulin vial, withdraw the regular insulin first to avoid contaminating it with the NPH insulin. D. Withdraw 20 units of NPH insulin. Finally, withdraw the NPH insulin after the regular insulin.

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A nurse is reinforcing teaching about how to use an incentive spirometer with a client. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at risk for a pressure injury. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

Correct Answer is B, A, C, D

Explanation

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