A postoperative patient is taking shallow breaths because of fear of incisional pain. Which of the following actions should the nurse take first?
a. Contact the physician to request nebulized mist treatments (NMTs).
b. Instruct the patient on the use of an incentive spirometer.
c. Call respiratory therapy to provide a metered-dose inhaler (MDI).
d. Measure peak expiratory flow rate with a peak flow meter.
ANS: B
Incentive spirometers are devices used to encourage deep breathing in patients at risk for collapse of lung tissue, a condition called atelectasis. These devices are commonly ordered for postoperative patients. Pain control is also essential for this patient. NMTs and MDIs are usually used for bronchodilator therapy, not to encourage deep breathing. A peak flow meter measures peak expiratory flow rate in asthmatic patients.
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