The nurse is conducting preoperative teaching with the patient and family. The nurse teaches the patient the proper use of the incentive spirometer
The nurse knows that the patient understands the need for this intervention when the patient states, "I use this device to: a. help my cough reflex."
b. expand my lungs after surgery."
c. increase my lung circulation."
d. keep me from coughing."
B
To facilitate deep breathing the incentive spirometer encourages forced inspiration to prevent atelectasis. Every preoperative teaching program includes explanation and demonstration of postoperative exercises, which include: diaphragmatic breathing, incentive spirometry, controlled coughing, turning, and leg exercises. Coughing assists in removing retained mucus in the airways. A deep, productive cough is more beneficial than merely clearing the throat. A patient needs to anticipate postoperative discomfort and understand the importance of coughing, even when it is difficult.
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