The nurse is preparing to assist the patient in using the incentive spirometer. Which nursing intervention should the nurse provide first?

a. Perform hand hygiene.
b. Explain use of the mouthpiece.
c. Instruct the patient to inhale slowly.
d. Place in the reverse Trendelenburg position.


ANS: A
Performing hand hygiene reduces microorganisms and should be performed first. Placing the patient in the correct position such as high Fowler's for the typical postoperative patient or reverse Trendelenburg for the bariatric patient would be the next step in the process. Demonstration of use of the mouthpiece followed by the instruction to inhale slowly would be the last step in this scenario.

Nursing

You might also like to view...

The nurse admits a child diagnosed with tetanus. What medication will the nurse expect to administer?

A) Methocarbamol (Robaxin) B) Baclofen (Lioresal) C) Dantrolene (Dantrium) D) Diphenhydramine (Benadryl)

Nursing

The LPN explains to a client that the hospital has an Institutional Ethics Committee whose main function is to:

1. preside over policy implementation. 2. revoke the license of someone who violates the law. 3. solving personnel disputes. 4. ensure that hiring adheres to ethnic equality.

Nursing

During which phase of maternal adjustment will the mother relinquish the baby of her fantasies and accept the real baby?

a. Letting go b. Taking hold c. Taking in d. Taking on

Nursing

A child is admitted for epiglottitis. Which of the following is an appropriate intervention?

a. Endotracheal equipment should be placed nearby the child b. Frequently examine the back of the throat c. Alert physician if stridor worsens d. Place the child flat to improve respirations

Nursing