The nurse is educating an asthma patient about proper use of the peak flowmeter. The nurse determines that the patient needs further teaching when observing which action?
a. The patient repeats the procedure and ob-tains three readings.
b. The patient breathes deeply through the mouthpiece.
c. The patient stands while performing the test.
d. The patient reports the highest reading on the peak flow sheet.
B
Peak flow should be monitored on a daily basis to determine if the asthma patient has adequate airflow. The reading helps determine if treatment should be adjusted. The patient should stand to achieve adequate chest expansion while taking a deep breath. The patient then blows as hard and fast as possible into the device with the mouthpiece in the mouth and the lips clamped firmly around it for a tight seal. The procedure should be performed three times with the highest reading recorded.
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