A nurse is teaching a client about the use of an incentive spirometer.
Which of the following instructions should the nurse include in the teaching?
Exhale slowly through pursed lips.
Hold breaths for about 3 to 5 seconds before exhaling.
Place hands on the upper abdomen during inhalation.
Position the mouthpiece.5 cm (1 in) from the mouth.
The Correct Answer is B
After inhaling deeply using an incentive spirometer, you should hold your breath for 3 to 5 seconds before exhaling.
Choice A is wrong because exhaling slowly through pursed lips is not an instruction for using an incentive spirometer.
Choice C is wrong because placing hands on the upper abdomen during inhalation is not an instruction for using an incentive spirometer.
Choice D is wrong because positioning the mouthpiece.5 cm (1 in) from the mouth is not an instruction for using an incentive spirometer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
People with diabetes should wear cotton rather than nylon socks.
Cotton socks are more breathable and can help keep feet dry, reducing the risk of infection.
Choice B is not the answer because people with diabetes should never use a heating pad on their feet.
Choice C is not the answer because people with diabetes should avoid walking barefoot, even around the house.
Choice D is not the answer because people with diabetes should wash their feet every day in warm water with mild soap, not hot water and antibacterial soap.
Correct Answer is A
Explanation
“The client’s capillary refill in the left toe is 6 seconds.” Capillary refill time is the time it takes for blood to return to the capillaries after pressure has been applied to the skin.
A normal capillary refill time is less than 2 seconds.
A capillary refill time of 6 seconds indicates poor blood flow to the left toe and requires immediate intervention by the nurse.
Choice B is not the correct answer because while a pain level of 7 on a scale from 0 to 10 at the operative site is concerning, it does not require immediate intervention by the nurse.
Choice C is not the correct answer because an oral temperature of 38.3° C (100.9° F) is only slightly elevated and does not require immediate intervention by the nurse.
Choice D is not the correct answer because while 100 mL of blood in a closed-suction drain may be concerning, it does not necessarily require immediate intervention by the nurse.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today