Author Question: The nurse is conducting preoperative teaching with the patient and family. The nurse teaches the ... (Read 23 times)

strangeaffliction · **on:** Jul 22, 2018

The nurse is conducting preoperative teaching with the patient and family. The nurse teaches the patient the proper use of the incentive spirometer.

The nurse knows that the patient understands the need for this intervention when the patient states, I use this device to: a. help my cough reflex.
b. expand my lungs after surgery.
c. increase my lung circulation.
d. keep me from coughing.

Question 2

Which information by the staff indicates teaching by the nurse was successful for the purposes of documentation? (Select all that apply.)

a. To aid in clinical research
b. To maintain a legal and financial record of care
c. To include a step-by-step description of how to perform procedures
d. To evaluate quality process and performance improvement
e. To communicate patient needs and progress toward meeting outcomes

katieost · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
To facilitate deep breathing the incentive spirometer encourages forced inspiration to prevent atelectasis. Every preoperative teaching program includes explanation and demonstration of postoperative exercises, which include: diaphragmatic breathing, incentive spirometry, controlled coughing, turning, and leg exercises. Coughing assists in removing retained mucus in the airways. A deep, productive cough is more beneficial than merely clearing the throat. A patient needs to anticipate postoperative discomfort and understand the importance of coughing, even when it is difficult.

Answer to Question 2

A, B, D, E
Documentation serves multiple purposes, including communication, legal documentation, reimbursement, education, research, and quality process and performance improvement. Step-by-step description of how to perform procedures is in a policy and procedure manual, not a chart.