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 56 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
Excellent


sultana.d

  • Member
  • Posts: 320
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

Drugs are in development that may cure asthma and hay fever once and for all. They target leukotrienes, which are known to cause tightening of the air passages in the lungs and increase mucus productions in nasal passages.

Did you know?

People with alcoholism are at a much greater risk of malnutrition than are other people and usually exhibit low levels of most vitamins (especially folic acid). This is because alcohol often takes the place of 50% of their daily intake of calories, with little nutritional value contained in it.

Did you know?

Cancer has been around as long as humankind, but only in the second half of the twentieth century did the number of cancer cases explode.

Did you know?

More than 50% of American adults have oral herpes, which is commonly known as "cold sores" or "fever blisters." The herpes virus can be active on the skin surface without showing any signs or causing any symptoms.

Did you know?

The familiar sounds of your heart are made by the heart's valves as they open and close.

For a complete list of videos, visit our video library