This topic contains a solution. Click here to go to the answer

Author Question: As a part of preoperative teaching, the nurse is instructing the client on the use of a ... (Read 58 times)

mspears3

  • Hero Member
  • *****
  • Posts: 586
As a part of preoperative teaching, the nurse is instructing the client on the use of a volume-oriented incentive spirometer. Which instruction should be included in this teaching? (Select all that apply.)
 
  1. Blow out into the canister until the enclosed cylinder rises.
  2. Close your lips tightly around the mouthpiece.
  3. Inhale sharply to elevate the enclosed cylinder.
  4. Use a nose clip to occlude nasal passages if necessary.
  5. Cough after using the device.
  6. Tilt the device slightly toward yourself while using.

Question 2

During tracheal suctioning, the nurse notes that the client' heart rate has increased from 80 to 100 bpm. Based upon this assessment, what action should the nurse take?
 
  1. Immediately discontinue suctioning.
  2. Prepare to resuscitate the client.
  3. Continue to suction until the airway is clear.
  4. Complete the suction episode as quickly as possible.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

flexer1n1

  • Sr. Member
  • ****
  • Posts: 373
Answer to Question 1

Correct Answer: 2, 4, 5
Rationale : The volume-oriented incentive spirometer works best when the client closes the lips around the mouthpiece tightly, inhales slowly and deeply to achieve rise in the enclosed cylinder, and keeps the device level. A nose clip may be used to occlude nasal passages if the client has difficulty breathing only through the nose. The client should also be taught to cough after using the device.

Answer to Question 2

Correct Answer: 4
Rationale 1: There is no need to immediately discontinue suctioning.
Rationale 2: There is no need to prepare to resuscitate the client.
Rationale 3: The client will likely not tolerate continuing the suction episode until the airway is clear.
Rationale 4: An increase in heart rate from 80 to 100 is not an unusual finding during suctioning, but does indicate increased stress on the client. The nurse should complete the suctioning episode as quickly as possible.




mspears3

  • Member
  • Posts: 586
Reply 2 on: Jul 23, 2018
:D TYSM


momolu

  • Member
  • Posts: 320
Reply 3 on: Yesterday
Great answer, keep it coming :)

 

Did you know?

The eye muscles are the most active muscles in the whole body. The external muscles that move the eyes are the strongest muscles in the human body for the job they have to do. They are 100 times more powerful than they need to be.

Did you know?

Over time, chronic hepatitis B virus and hepatitis C virus infections can progress to advanced liver disease, liver failure, and hepatocellular carcinoma. Unlike other forms, more than 80% of hepatitis C infections become chronic and lead to liver disease. When combined with hepatitis B, hepatitis C now accounts for 75% percent of all cases of liver disease around the world. Liver failure caused by hepatitis C is now leading cause of liver transplants in the United States.

Did you know?

In the ancient and medieval periods, dysentery killed about ? of all babies before they reach 12 months of age. The disease was transferred through contaminated drinking water, because there was no way to adequately dispose of sewage, which contaminated the water.

Did you know?

Giardia is one of the most common intestinal parasites worldwide, and infects up to 20% of the world population, mostly in poorer countries with inadequate sanitation. Infections are most common in children, though chronic Giardia is more common in adults.

Did you know?

When blood is deoxygenated and flowing back to the heart through the veins, it is dark reddish-blue in color. Blood in the arteries that is oxygenated and flowing out to the body is bright red. Whereas arterial blood comes out in spurts, venous blood flows.

For a complete list of videos, visit our video library