The nurse should include the proper use of an incentive spirometer in teaching for a preoperative patient. Postoperative monitoring of this patient would reveal that the incentive spirometry has been effective if the patient has:
1. adventitious breath sounds.
2. expiratory wheezing.
3. thick, green respiratory secretions.
4. clear breath sounds.
4
An incentive spirometer is used to promote lung expansion, which opens airways, reduces atelectasis, and stimulates coughing to clear secretions.
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A client is scheduled for transsphenoidal microsurgery for removal of a pituitary adenoma. Which preoperative instruction should the nurse include?
1. The client may not use a toothbrush for several days after surgery to prevent injury to the surgical site. 2. Turn, deep breathe and cough every 2 hours. 3. The client must remain supine in bed, with sandbags alongside her head to prevent movement. 4. The client will have to take replacement growth hormone for the rest of her life.
As part of the care plan for a client with pyelonephritis, the nurse should
a. assess for manifestations of fluid overload. b. encourage increased activity. c. increase fluid intake to 3 to 4 L/day. d. watch for early manifestations of anaphylaxis.
Use the low-dose range of 0.5-2 mcg/kg/min to determine the appropriate dose range of dopamine that would result in vasodilation and increased renal blood flow for a patient who weighs 132 pounds.
A. 1.8-7.2 mg/hr B. 0.3-6.2 mg/hr C. 1-4.5 mg/hr D. None of these are correct.
Strict isolation is required for a child who is hospitalized with (select all that apply):
a. Mumps. b. Chickenpox. c. Exanthema subitum (roseola). d. Erythema infectiosum (fifth disease). e. Parvovirus B19.