Author Question: A patient is planning to perform incentive spirometry after abdominal surgery. The nurse should ... (Read 37 times)

luvbio · **on:** Jun 25, 2018

A patient is planning to perform incentive spirometry after abdominal surgery. The nurse should encourage the patient to do which of the following?

a. Get comfortable in a semi-reclined position.
b. Inhale as deeply as possible and then exhale into the incentive spirometry device.
c. Hold the breath for at least 3 seconds before exhaling.
d. Exhale as quickly as possible.

Question 2

The nurse is teaching a patient how to use a metered-dose inhaler without a spacer. Which action by the patient demonstrates correct use of the device?

a. Being careful not to shake the canister
b. Positioning the mouthpiece in front of the mouth while not touching the lips
c. Depressing the canister fully, waiting 3 to 5 seconds, then inhaling slowly and deeply
d. Taking another puff of the medication within 10 seconds

bubulittle310@msn.cn · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

C
The patient should hold his breath for at least 3 seconds after inhalation. The patient should be positioned in the most erect position (e.g., high-Fowler's position), if tolerated. This promotes optimal lung expansion during respiratory maneuvers. The patient should exhale completely through the mouth and place the lips around the mouthpiece, and then he should take a slow, deep breath, hold it for at least 3 seconds, and exhale normally.

Answer to Question 2

B
The best way to deliver medication without a spacer is to position the mouthpiece 2 to 4 cm in front of a widely opened mouth with the opening of the inhaler toward the back of the throat. The lips should not touch the inhaler. Shaking the inhaler before administration is the correct procedure; it mixes the medication within the canister. The correct procedure is to depress the canister fully while inhaling slowly and deeply through the mouth for 3 to 5 seconds. A wait of 20 to 30 seconds is advised between doses of the same medication; 2 to 5 minutes is the standard time between doses of different medications.