Author Question: During the physical assessment of a client who has been inactive due to a leg injury, the nurse ... (Read 32 times)

Themember4 · **on:** Jul 22, 2018

During the physical assessment of a client who has been inactive due to a leg injury, the nurse notes that the client tends to breathe very shallowly. What technique should the nurse teach the client in order to breathe more efficiently?

A) Deep breathing
B) Pursed-lip breathing
C) Diaphragmatic breathing
D) Incentive spirometry

Question 2

A 5-year-old child was admitted to the pediatric unit of the hospital with the diagnosis of fever of unknown origin. Currently the patient's temperature is 105 F.

Which of the following is the best way to prevent a patient-inherent accident from occurring? a. Keep all electric receptacles covered in the patient's room.
b. Clean up patient spills as they occur.
c. Pad all bed side rails.
d. Do not allow the child in the playroom.

FergA · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Feedback:
The nurse should teach deep breathing techniques to the client who tends to breathe shallowly in order to help the client breathe more efficiently. Deep breathing is a technique for maximizing ventilation. Taking in a large volume of air fills alveoli to a greater capacity, thus improving gas exchange. Pursed-lip breathing is a form of controlled ventilation in which the client consciously prolongs the expiration phase of breathing, which helps clients to eliminate more than the usual carbon dioxide from the lungs. It is used to increase the volume of air exchanged during inspiration and expiration. Incentive spirometry, a technique for deep breathing using a calibrated device, encourages clients to reach a goal-directed volume of inspired air. It prevents respiratory complications of immobility but does not directly increase the efficiency of breathing. Diaphragmatic breathing is breathing that promotes the use of the diaphragm rather than the upper chest muscles. It is used to increase the volume of air exchanged during inspiration and expiration.

Answer to Question 2

C
One of the more common precipitating factors for a patient-inherent accident is a seizure. Place patients with a seizure disorder on seizure precautions, which are designed to protect patients when seizures occur. Keeping electric receptacles and cleaning up patient spills, and not allowing the child to play in the playroom are all extrinsic factors that are environmentally related and include room clutter, loose electrical cords, and spills.