A nurse is reinforcing teaching with a client who is having difficulty using an incentive spirometer. Which of the following instructions should the nurse include in the teaching?

Start slowly and increase volume over several sessions.

Do regular deep-breathing exercises instead.

Use another device because this one is might be faulty.

Be much more vigorous in increasing increments.

Answer and Explanation

The Correct Answer is A

A. Start slowly and increase volume over several sessions.

This is the correct choice. For clients having difficulty using an incentive spirometer, starting slowly and gradually increasing the volume over several sessions is an appropriate approach. It allows the client to become familiar with the device and the technique required for effective use. Starting slowly also reduces the risk of discomfort or respiratory distress, allowing the client to build up their lung capacity gradually and achieve optimal results over time.

B. Do regular deep-breathing exercises instead.

Regular deep-breathing exercises are beneficial for improving lung function and respiratory strength. However, using an incentive spirometer serves a specific purpose in promoting deep breathing and lung expansion to prevent atelectasis (lung collapse) and improve respiratory function. While deep-breathing exercises are helpful, they may not provide the same targeted benefits as using an incentive spirometer, especially for clients who are experiencing difficulty with deep breathing or lung expansion.

C. Use another device because this one might be faulty.

This option assumes that the difficulty with the incentive spirometer is due to a fault in the device itself, which may not necessarily be the case. Before considering another device, it's important to ensure that the client is using the current device correctly and receiving proper instruction. If the client continues to have difficulty despite proper technique and instruction, then further assessment of the device may be warranted.

D. Be much more vigorous in increasing increments.

Being much more vigorous in increasing increments is not recommended, as it could lead to discomfort, respiratory distress, or hyperventilation for the client. Increasing the volume too quickly may overwhelm the client and make it more difficult for them to use the incentive spirometer effectively. Gradual progression allows the client to adjust to the device and build up their lung capacity safely and effectively over time.

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Correct Answer is A

Explanation

A. Offer small frequent meals

Offering small, frequent meals is beneficial for patients with COPD because it helps overcome the challenges associated with dyspnea and fatigue. Large meals can cause discomfort and increase the effort required for breathing, which can exacerbate respiratory symptoms. By providing smaller, more manageable portions of food throughout the day, patients with COPD can maintain their energy levels and meet their nutritional needs without experiencing excessive respiratory distress.

B. Encourage extra liquids with meals

Encouraging extra liquids with meals can help prevent dehydration and thin respiratory secretions, making it easier for patients with COPD to manage their respiratory symptoms. However, excessive fluid intake can also lead to feelings of fullness and discomfort, especially in patients with compromised lung function. Therefore, while it's important to encourage adequate hydration, particularly during meals, it's also essential to balance fluid intake to avoid exacerbating respiratory symptoms.

C. Assist the patient to exercise before meals

While regular exercise is beneficial for overall health and can help improve respiratory function in patients with COPD, exercising immediately before meals may not be practical or advisable for all patients. Patients with COPD may experience fatigue and dyspnea during physical activity, which can affect their ability to eat and digest food effectively. Additionally, exercising before meals may increase energy expenditure and exacerbate respiratory symptoms, making it more challenging for patients to consume an adequate amount of nutrients. Instead, patients with COPD may benefit from engaging in light physical activity or respiratory exercises at a different time of day to improve their respiratory function and overall well-being.

D. Supply information about nutrition

Providing information about nutrition is essential for patients with COPD to help them make healthy dietary choices and manage their condition effectively. However, simply supplying information may not be sufficient to enhance the nutritional status of patients with COPD. It's important to offer practical guidance and support, such as meal planning tips, dietary modifications, and strategies for overcoming barriers to healthy eating. Additionally, individualized dietary counseling from a registered dietitian can be beneficial for patients with COPD to address specific nutritional needs and preferences.

A. Notify the provider. B. Verify that the suction regulator is on. C. Continue to monitor the client because this is an expected finding. D. Milk the chest tube to dislodge any clots in the tubing that may be occluding it.

Correct Answer is B

Explanation

A. Notify the provider.

This choice suggests involving the healthcare provider immediately. While notifying the provider might eventually be necessary if the issue persists, it's not the initial action in this scenario. The nurse should first assess and troubleshoot the situation before escalating it to the provider.

B. Verify that the suction regulator is on.

This is the correct choice. When there is no bubbling in the suction control chamber of a chest tube, it may indicate that suction is not being applied properly. Verifying that the suction regulator is turned on and set to the correct level ensures that suction is being delivered to the chest tube.

C. Continue to monitor the client because this is an expected finding.

This choice is incorrect. The absence of bubbling in the suction control chamber is not an expected finding and suggests a potential problem with the suction system. Ignoring this finding without taking any action could lead to complications for the client.

D. Milk the chest tube to dislodge any clots in the tubing that may be occluding it.

Milking the chest tube is a technique used to maintain patency and promote drainage in chest tubes, but it should not be the first action when there is no bubbling in the suction control chamber. This action does not address the underlying issue of inadequate suction and may not be appropriate without first ensuring that suction is functioning correctly.

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A nurse is reinforcing teaching with a client who is having difficulty using an incentive spirometer. Which of the following instructions should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

What nursing intervention enhances the nutritional status of a patient with COPD?

Correct Answer is A

Explanation

A nurse is checking the suction control chamber of a client's chest tube and notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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