After observing the client use the incentive spirometer, which item is not required in the nurse's documentation?
1. Volume or flow levels achieved
2. Number of times the client coughs after use of the device
3. Type of spirometer
4. Breath sound auscultation before and after use of the device
Correct Answer: 2
The number of times the client coughs is not important; rather, how effective the client is in clearing the airway would be the priority documentation. Some clients might cough forcefully and clear the airway with one or two coughs, whereas others might have a weaker cough, and need to cough many times before clearing the airway. The other factors would be important data to document.
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