In teaching a patient to perform the sustained maximal ...

[rl]

In teaching a patient to perform the sustained maximal inspiration maneuver during incentive spirometry, what would you say?
 
  a. Exhale normally, then inhale as deeply as you can, then hold your breath for 5 to 10 seconds.
  b. Inhale as deeply as you can, then blow out as much air as you can as fast as possi-ble.
  c. Exhale normally, then inhale as deeply as you can, then hold your breath for 10 to 20 seconds.
  d. Exhale as much as you can, then inhale as deeply as you can, then relax and let it out.

Question 2

An alert and cooperative 28-year-old woman with no prior history of lung disease underwent ce-sarean section 16 hr earlier. Her x-ray film currently is clear.
 
  Which of the following approaches to preventing atelectasis would you recommend for this pa-tient?
  a. Incentive spirometry
  b. PEEP therapy
  c. Deep breathing exercises
  d. Intermittent positive-pressure breathing therapy

[kkenney]

Answer to Question 1

ANS: A
The patient should be instructed to inspire slowly and deeply to maximize the distribution of ventilation.

Answer to Question 2

ANS: A
For the patient at high risk for atelectasis (e.g., the upper abdominal surgery patient), incentive spirometry is usually used.

[rl]

TYSM

[ktidd]

Excellent