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concept of nursing 1
Incentive Spirometry (Pediatric) - CE
Question | Answer |
---|---|
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 |