The nurse providing instructions to the client using an incentive ...

[lindiwe]

The nurse providing instructions to the client using an incentive spirometer tells the client to sustain the inhaled breath for 3 seconds.
 
  When the client asks the nurse about the rationale for this action, the nurse explains that the primary benefit is to: 1. Dilate the major bronchi.
  2. Maintain inflation of the alveoli.
  3. Increase surfactant production.
  4. Enhance ciliary action in the tracheobronchial tree.

Question 2

A rubella titer is performed on a client who has just been told that she is pregnant. The results of the titer indicate that the client is not immune to rubella. Which of the following would the nurse anticipate to be prescribed for this client?
 
  1. Immunization with rubella
  2. Retesting rubella titer during pregnancy
  3. Counseling the mother regarding therapeutic abortion
  4. Antibiotics, to be taken throughout the pregnancy

[nekcihc358]

Answer to Question 1

2

Rationale: Sustained inhalation helps maintain inflation of terminal bronchioles and alveoli, thereby promoting better gas exchange. Routine use of such devices such an incentive spirometer can help prevent atelectasis and pneumonia in clients at risk. Dilate the major bronchi, increase surfactant production, and enhance ciliary action in the tracheobronchial tree are not reasons for sustaining inflation.

Answer to Question 2

2

Rationale: A rubella titer is performed to determine immunity to rubella. If the client's titer is less than 1:8, the mother is not immune. A retest during pregnancy is prescribed, and the mother is immunized postpartum if she is not immune. Antibiotics are not prescribed. Counseling the client regarding therapeutic abortion is an inaccurate option.

[lindiwe]

Thank you!

[nekcihc358]

Always glad to help...