The nurse is teaching a patient how to use a flow-oriented incentive spirometer (IS) the night before abdominal surgery. Which statement by the patient indicates an understanding of the procedure?

a. "I need to get the balls to the top as quickly as possible."
b. "Quick rapid breaths are the most effective when the incentive spirometer is used."
c. "I need to keep the balls elevated as long as possible."
d. "The balls must be elevated to be effective."


C
The goal is to keep the balls elevated for as long as possible to ensure maximal sustained inhalation, not to snap the balls to the top of the chamber quickly with a rapid, brief, low-volume breath. Even if very slow inspiration does not elevate the balls, this pattern helps to improve lung expansion.

Nursing

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The newly hired nurse is being oriented to the charting system used at the employing facility. The preceptor tells the nurse to find the nursing section of the client's record and document vital signs and AM care

The nurse recognizes the form of documentation used at this facility is which of the following? 1. Problem-oriented charting 2. SOAP charting 3. Source-oriented charting 4. Fact-oriented charting

Nursing

Upon entering an order for two units of packed red blood cells into a computerized physician order entry system, a dialog box is displayed stating that the patient is designated as "Bloodless," meaning that the patient will refuse all blood products

This is an example of: a. clinical decision support. b. evidence-based medicine. c. Heisenberg Principle. d. minimal data set.

Nursing

The nurse reviewing a client record notes a documented finding of "vitiligo present bilateral hands." Which assessment finding should the nurse anticipate?

A. Dark, asymmetrical colored patches. B. Nodules with ulcerations. C. Abnormal loss of melanin in patches. D. Grouped vesicles.

Nursing

The nurse is planning care for a newborn receiving IV calcium gluconate for treatment of hypocalcemia. Which intervention is the most appropriate during the acute phase?

a. Allow newborn to sleep with pacifier to decrease stimuli. b. Keep newborn awake to monitor central nervous system changes. c. Encourage parents to hold and feed newborn to facilitate attachment during illness. d. Awaken newborn periodically to assess level of consciousness.

Nursing