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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

The client’s ABG results show a pH of 7.24, which is below the normal range of 7.35-7.45 and indicates acidosis.
The PaCO2 is within the normal range of 35-45 mm Hg, indicating that the acidosis is not caused by a respiratory issue.
The HCO3 level is 18 mEq/L, which is below the normal range of 22-28 mEq/L and indicates a primary metabolic cause for acidosis.
Respiratory acidosis is not indicated by the ABG results as the PaCO2 is within the normal range.
B) Metabolic alkalosis is not indicated by the ABG results as the pH and HCO3 levels are below their respective normal ranges.
C) Respiratory alkalosis is not indicated by the ABG results as the pH is below the normal range and the PaCO2 is within the normal range.

A. Provide the client with a short-handled reacher. B. Place a plate guard on the client's meal tray. C. Remind the client to use a cane on his left side while ambulating. D. Position the bedside table on the client's left side.

Correct Answer is A

Explanation

The nurse should provide the client with a short-handled teacher.

This can help the client to reach and grasp objects without having to overextend or strain their unaffected arm.
Choice B is also correct.
The nurse should place a plate guard on the client’s meal tray.
This can help prevent food from spilling off the plate and make it easier for the client to eat with one hand.
Choice C is wrong because reminding the client to use a cane on his left side while ambulating could be unsafe as the client’s left side is affected by hemiplegia.
Choice D is wrong because positioning the bedside table on the client’s left side could make it difficult for the client to reach items on the table.

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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?

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Naxlex Comprehensive Predictor Exams

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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?