The nurse is teaching a patient with asthma how to measure peak expiratory flow rate (PEFR). What should be included in the teaching plan? (Select all that apply.)
a. Assume a recumbent position before measuring PEFR.
b. Take a deep breath in, exhale, then place the mouthpiece in the mouth and form a firm seal with the lips.
c. After placing the mouthpiece in the mouth, blow out as hard and as fast as possible through the mouth in only one single breath.
d. Measure PEFR 3 times and record the highest number.
C, D
To measure PEFR, the patient should be standing. If the patient is unable to stand, high-Fowler's position or any other position that promotes optimum lung expansion should be used. The patient should take in a deep breath, place the mouthpiece in the mouth, and form a tight seal. Then the patient should blow out as hard and as fast as possible through the mouth in only one single breath. Two additional measurements are taken, and the highest number is recorded.
You might also like to view...
When listening to a patient, the nurse demonstrates warmth and acceptance by:
a. tightly crossing her arms. b. uncrossing her arms. c. tightly crossing her legs. d. facing away from the patient.
A client is scheduled for cataract surgery. What teaching should the nurse provide prior to surgery?
1. The need to refrain from taking baths after surgery 2. The need for appropriate protein intake to prevent further cataract development 3. Teaching that helps the client reduce intraocular pressure. 4. The need to wear glasses at all times.
A patient is recovering from surgery to clip an aneurysm. The nurse would anticipate managing which interventions to help prevent cerebral vasospasm?
1. Infusion of packed red blood cells 2. Diuretic therapy 3. Oral fluid restriction 4. Intravenous fluid augmentation
A patient taking a nonsteroidal anti-inflammatory drug (NSAID) tells the nurse that the drug causes an upset stomach. What is the nurse's best response?
a. "Always take this drug with food or with milk." b. "Stop taking the drug and notify your prescriber." c. "Try chewing the drug instead of swallowing it whole." d. "Take the drug on an empty stomach to avoid vomiting."