A nurse is conducting preoperative teaching, for a client scheduled for surgery, about the correct use of an incentive spirometer. The nurse includes which information in the teaching?
  1. Instruct the client to breathe in slowly to raise and maintain the flow rate indicator between 600 and 900 marks.
  2. Instruct the client that after the maximum inspiration, the breath is held for 15 seconds and exhaled through pursed lips.
  3. Instruct the client to maintain a loose seal between the lips and mouthpiece.
  4. Instruct the client to elevate the head of the bed to 30-degrees during the entire procedure.
Explanation
Answer: A - To achieve optimal lung expansion, the client must be in semi-Fowler’s or high-Fowler’s position. A tight seal is maintained between the lips and the mouthpiece. Maximum inspiration should be held for 5 seconds before exhaling through pursed lips.
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