The nurse is caring for a patient who is recovering from chest surgery. Which action by the patient indicates that additional teaching is needed about how to use the ordered incentive spirometer correctly?
a. The patient breathes into the spirometer so that the marker rises slowly.
b. The patient uses the spirometer at least 10 times every hour while awake.
c. The patient seals his lips tightly around the spirometer mouthpiece.
d. The patient rests for 5 to 10 seconds after each time the spirometer is used.
ANS: A
The patient must take in a deep breath while holding the spirometer to the mouth so that the device can indicate how much air is being inhaled into the lungs. The patient should use the spirometer at least 10 times every hour while awake, seal the lips closely around the mouthpiece, and rest for a few seconds between breaths.
You might also like to view...
A postpartum patient complains of severe perineal pain and a sensation of needing to defecate but cannot pass stool. What action by the nurse is best?
A. Administer a stool softener. B. Document the findings in the chart. C. Offer a warm sitz bath. D. Palpate the perineal area.
The nurse is caring for a patient who is headed to the operating room for abdominal surgery. Which goal is appropriate for the nursing diagnosis risk for Perioperative positioning injury?
a. Patient will deny numbness or tingling in extremities after surgical procedure. b. Patient will maintain urine output of at least 30 mL/hour during and after surgery. c. Patient will maintain elastic skin turgor as well as moist tongue and mucus membranes. d. Patient will have no emesis and deny nausea following arousal from general anesthesia.
A student nurse is caring for a patient who has a diagnosis of acute pancreatitis and who is receiving parenteral nutrition. The student should prioritize which of the following assessments?
A) Fluid output B) Oral intake C) Blood glucose levels D) BUN and creatinine levels
Any increase in carcinoembryonic antigen indicates that a tumor is present
Indicate whether the statement is true or false