The nurse would determine that this patient is aware of how to use the incentive spirometer device properly when the patient:

took five quick "huffs" and then coughed vigorously

exhaled deeply and then inhaled quickly and forcefully three times

took five deep breaths slowly every 4 hours

took 10 slow, deep breaths every hour

Answer and Explanation

The Correct Answer is D

A) Took five quick "huffs" and then coughed vigorously. Huff coughing is a technique used to clear secretions, but it is not the correct method for using an incentive spirometer.
B) Exhaled deeply and then inhaled quickly and forcefully three times. Rapid inhalation and exhalation do not promote effective lung expansion or alveolar recruitment.
C) Took five deep breaths slowly every 4 hours. This frequency is insufficient to prevent atelectasis and postoperative lung complications.
D) Took 10 slow, deep breaths every hour. Taking 10 slow, deep breaths every hour encourages full lung expansion and prevents complications such as atelectasis.

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Correct Answer is D

Explanation

A. Loop the tubing of the chest tube on the client's bed: Looping can create kinks or blockages, impeding drainage and increasing the risk of complications.
B. Place the chest tube drainage system above the level of the client's heart: This would prevent gravity drainage, leading to fluid accumulation in the pleural space.
C. Strip the client's chest tube every 2 hrs: Stripping can create high negative pressure, damaging lung tissue.
D. Tape the connections on the client's chest tube: Securing all connections with tape helps maintain a closed system and prevents air leaks.

A. incomplete expirations. B. decreased oxygen saturation C. impaired cilia D. increased elasticity in thorax and respiratory tissues

Correct Answer is ["A"]

Explanation

A. Incomplete expirations: Age-related decreased lung elasticity impairs full expiration, trapping air in the lungs.
B. Decreased oxygen saturation: Age-related changes in lung tissue reduce gas exchange efficiency.
C. Impaired cilia: Decreased ciliary function reduces the ability to clear mucus and pathogens from the airway.
D. Increased elasticity in thorax and respiratory tissues: Elasticity decreases with aging, reducing lung compliance.

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The nurse would determine that this patient is aware of how to use the incentive spirometer device properly when the patient:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who has a chest tube. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

The nurse is aware that changes occur in the respiratory system after the age of 70 that put the older adult more at risk for respiratory problems. These changes include: (Select all that apply.)

Correct Answer is ["A"]

Explanation

A patient who will begin oxygen therapy has a history of sinus disorders. This patient would benefit most from which oxygen setup?

A patient requires a precise concentration of 40% oxygen. Which of the following devices would best allow for this?

The nurse monitoring patients eating in the dining room of a skilled nursing facility notes that a patient begins choking. As the nurse prepares to deliver the Heimlich maneuver, the fist should be positioned:

A nurse is reinforcing teaching with a client who has a prescription for home oxygen therapy. Which of the following instructions should the nurse include?

A nurse is preparing to suction the airway of a client who has a tracheostomy. Identify the sequence of actions the nurse should take after performing hand hygiene. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

A nurse performing oral suctioning on an adult patient should set the wall suction machine so that the suction pressure is between:

The nurse performing tracheostomy care will:

A patient requires suctioning via the nasotracheal route. In order to perform this procedure safely, the nurse should: