The nurse is caring for a client with COPD. It is time to do discharge teaching with this client. The nurse teaches the client about breathing exercises. What should the nurse include in the teaching?
A) Make inhalation longer than exhalation
B) Exhale through an open mouth
C) Use diaphragmatic breathing
D) Use chest breathing
Ans: C
Feedback: Inspiratory muscle training and breathing retraining may help improve breathing patterns. Training in diaphragmatic breathing reduces the respiratory rate, increases alveolar ventilation, and, sometimes, helps expel as much air as possible during expiration. Pursed-lip breathing helps slow expiration, prevents collapse of small airways, and controls the rate and depth of respiration. It also promotes relaxation, which allows patients to gain control of dyspnea and reduce feelings of panic. Diaphragmatic breathing, not chest breathing, increases lung expansion.
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Which statement describes functional nursing?
1. One nurse has responsibility for all the needs for three clients. 2. One nurse has responsibility for all the medications on the unit. 3. One nurse and one nursing assistant have responsibility for ten clients. 4. One charge nurse and one respiratory therapist have responsibility for all clients.
A patient with Bell's palsy asks the nurse why they have to wear an eye shield at night. What would be the nurse's best response?
A) "A patient with Bell's palsy often can't close his or her eye, which causes insomnia." B) "A patient with Bell's palsy needs an eye shield at night to prevent injury to the eye." C) "A patient with Bell's palsy can't blink, so the eye shield keeps the eye moist." D) "A patient with Bell's palsy needs extra coverage for his or her eye."
The nurse should assess which patient first?
a. The patient with acute shortness of breath b. The patient with epigastric pain c. The patient with right arm pain d. The patient with persistent indigestion
A resident thinks her hearing aid is not working. What should you do first?
a. Ask her simple questions. If she answers correctly, the hearing aid is working. b. Tell the nurse. c. Check to see if the hearing aid is on. d. Put it in your ear to see if it is working.