Deck 24: Breathing Exercises

Question 1

The nurse observes a client while using the prescribed incentive spirometer.Which items will the nurse include when documenting this observation in the nursing notes?

A)Type of spirometer
B)Number of breaths taken
C)Education provided
D)Medications administered
E)Code status

Answer 1

Type of spirometer
Number of breaths taken
Education provided

Question 2

The nurse is caring for a client requiring mechanical ventilation who is deeply sedated and receiving paralytic medications.Which nursing intervention would assist the client to optimize oxygenation?

A)Hyperventilating the client once an hour
B)Hyperoxygenating the client once an hour
C)Encouraging coughing and deep breathing
D)Frequent repositioning

Answer 2

Frequent repositioning

Question 3

The nurse finds the client sitting upright and leaning on the arms or elbows.Which piece of documentation accurately describes the client's position?

A)The client has assumed the orthopneic position.
B)The client has assumed the COPD position.
C)The client has assumed the tripod position.
D)The client is sitting upright.

Answer 3

The client has assumed the tripod position.

Question 4

Which is not a teaching point that the nurse would include when instructing a client to perform breathing exercises?

A)Breathing in deeply through the nose with the mouth closed
B)Avoiding arching the back
C)Holding the breath for 30-40 seconds
D)Breathing out slowly

Question 5

The nurse is providing care to a client with a diagnosis of asthma.Which nursing interventions will help to maintain normal respirations for this client?

A)Positioning the client for maximum lung expansion
B)Providing frequent position changes
C)Encouraging ambulation
D)Monitoring pulse oximetry
E)Assessing breath sounds

Question 6

The nurse is teaching the client how to use the flow-oriented sustained maximal inspiration (SMI)device.Which teaching point is not appropriate for this client?

A)Sealing the lips tightly around the mouthpiece
B)Inhaling slowly and deeply until the piston is elevated to the preset level
C)Holding the breath for 6 seconds
D)Removing the mouthpiece and exhaling normally

Question 7

The nurse is caring for a client who had major abdominal surgery yesterday.Which assessment finding would indicate inadequate airway clearance that might be cleared with coughing and deep breathing?

A)Tachypnea with rales heard in the upper lobes and over the trachea
B)Bradypnea with wheezing heard throughout all lung fields
C)Tachypnea with wheezing heard throughout all lung fields
D)Tachypnea with rhonchi heard in the lower lobes

Question 8

After observing the client use the incentive spirometer,which item is not required in the nurse's documentation?

A)Volume or flow levels achieved
B)Number of times the client coughs after use of the device
C)Type of spirometer
D)Breath sound auscultation before and after use of the device

Question 9

Which activity could the nurse safely delegate to the unlicensed assistive personnel (UAP)?

A)Answering the client's questions about proper procedure when performing breathing exercises
B)Assisting the client to sit upright in order to perform breathing exercises
C)Evaluating the effectiveness of breathing exercises
D)Evaluating the client's technique when using an incentive spirometer

Question 10

While reviewing the client's medical record,the nurse learns the client has atelectasis.Which statement indicates an appropriate understanding of this term?

A)"The lung has partially collapsed."
B)"A lobe of the lung has collapsed."
C)"Air sacs within the lung have collapsed."
D)"A complete collapse of the lung has occurred."