Which does the nurse include in client teaching to perform PEFR?

1. Exhale slowly through the mouth and nose.
2. Set the meter indicator at the best client reading.
3. Complete three respiratory cycles and record best effort.
4. Create firm seal around the mouthpiece and then inhale.


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3. The nurse instructs the client to exhale forcefully into the flow meter's mouthpiece for three respiratory cycles and to record the best reading of the three attempts.
1 and 4. The nurse instructs the client to exhale forcefully because the expiratory flow during the first second of expiration is the best indicator of the expiratory flow rate.
2. The nurse instructs the client to set the indicator at zero to begin testing because the current flow rate potentially does not reach the client's best rate in the past.

Nursing

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