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concept of nursing 1

Incentive Spirometry (Pediatric) - CE

QuestionAnswer
When explaining the use of IS to a family, what should the nurse emphasize? Using IS is one way to help prevent postoperative atelectasis or lung collapse.
A new nurse is caring for a patient who has recently undergone open heart surgery and is assisting the patient with using the IS device. The nurse asks the preceptor, “What does an incentive spirometer measure?” --
What is the correct response by the preceptor? “Inspiratory flow or volume”
The family of a child is questioning the reason for IS postoperatively. What should the family be told is the greatest advantage of IS? The instant feedback provided by the IS device
How is IS designed to mimic natural sighing? It encourages the patient to take slow, deep breaths.
The preceptor asks a new nurse which patients in this group are likely to benefit from IS. Which response indicates that the new nurse requires further education? A 2-year-old patient after cardiac surgery
The nurse is caring for a toddler who recently had abdominal surgery. The patient does not understand how to use the IS. What is an appropriate action for the nurse? Substitute activities such as blowing bubbles or a pinwheel for the IS.
The nurse comes into a 5-year-old patient’s room to help with the IS exercises. The patient is anxious and is afraid to try the device. What action should the nurse take? Allow the patient to first play with the IS device and practice deep breathing.
The nurse is teaching a 10-year-old patient how to correctly perform IS. What is the correct method to teach this patient? Have the patient hold a breath for 5 to 10 seconds at maximum inspiration.
The nurse is getting ready to teach IS to a patient. What should the nurse assess first before the teaching? The patient’s pain level
The nurse is getting ready to determine a patient’s preoperative baseline inspiratory capacity before surgery. What is an acceptable postoperative inspiratory volume for a pediatric patient’s IS? One-half to three-quarters of baseline
Created by: Lightnning54
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