Deep Breathing Exercises Flashcards, test questions and answers

Question 1

A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? A) Orient the client to person, place & time. B) Assist the client with deep breathing exercises C) Calm the client by using therapeutic touch

Answer

B) Assist the client with deep breathing exercises
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Question 2

A client who is undergoing thoracic surgery has a nursing diagnosis of “Impaired gas exchange related to lung impairment and surgery” on the nursing care plan. Which of the following nursing interventions would be appropriately aligned with this nursing diagnosis? Select all that apply. a) Regularly assess the client’s vital signs every 2 to 4 hours. b) Maintain an open airway. c) Encourage deep breathing exercises. d) Monitor pulmonary status as directed and needed. e) Monitor and record hourly intake and output.

Answer

Monitor pulmonary status as directed and needed. Regularly assess the client’s vital signs every 2 to 4 hours. Encourage deep breathing exercises.
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Question 3

Which information will the nurse include when teaching a patient with newly diagnosed ankylosing spondylitis (AS) about the management of the condition? a. Exercise by taking long walks. b. Do daily deep breathing exercises. c. Sleep on the side with hips flexed. d. Take frequent naps during the day.

Answer

ANS: B Deep breathing exercises are used to decrease the risk for pulmonary complications that may occur with the reduced chest expansion that can occur with ankylosing spondylitis (AS). Patients should sleep on the back and avoid flexed positions. Prolonged standing and walking should be avoided. There is no need for frequent naps.
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Question 4

1. A client admitted to the hospital with a diagnosis of cirrhosis has massive ascites and difficulty breathing. The nurse performs which intervention as a priority measure to assist the client with breathing? a) repositions side to side every 2 hours b) elevates the head of the bed 60 degrees c) auscultates the lung field every 4 hours d) encourages deep breathing exercises every 2 hours

Answer

1) B – The client is having difficulty breathing because of upward pressure on the diaphragm from the ascitic fluid. Elevating the head of the bed enlists the aid of gravity in relieving pressure on the diaphragm. The other options are general measures to promote lung expansion in the client with ascites, but the priority measure is the one that relieves diaphragmatic pressure.
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Question 5

The nurse talks to Ms. Jackson what to expect the day of the surgery and during the immediate postoperative period. The nurse provide instructions regarding cough and deep breathing exercises. Ms. Jackson performs a return demonstration by breathing in deeply through her mouth and exhaling forcefully and rapidly through pursed lips. Which action should the nurse implement? A. Advise the client to avoid pursing her lips when exhaling. B. Remind the client to cough after taking 2 to 3 breaths. C. Demonstrate the deep breathing and cough technique again. D. Document successful completion of the return demonstration.

Answer

C. Demonstrate the deep breathing and cough technique again. Rationale: Ms. Jackson has demonstrated incorrect technique. When performing deep breathing exercises, the client should inhale through the nose and exhale slowly through the mouth without pursing the lips. The nurse should demonstrate the entire procedure again for best learning by the client.
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Question 6

Preoperative Teaching The nurse talks with Ms. Jackson about what to expect the day of surgery and during the immediate postoperative period. The nurse provides instructions regarding cough and deep breathing exercises. Ms. Jackson performs a return demonstration by breathing in through her mouth deeply and exhaling through pursed lips forcefully and rapidly. 4. What action should the nurse implement? A) Advise the client to avoid pursing her lips when exhaling. B) Remind the client to cough after taking two to three breaths. C) Demonstrate the deep breathing and coughing technique again. D) Document successful completion of the return demonstration.

Answer

C) Demonstrate the deep breathing and coughing technique again. CORRECT Ms. Jackson has demonstrated incorrect technique. When performing deep breathing exercises, the client should inhale through the nose and exhale slowly through the mouth without pursing the lips. The nurse should demonstrate the entire procedure again for best learning by the client.
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Question 7

A client who is undergoing thoracic surgery has a nursing diagnosis of “Impaired gas exchange related to lung impairment and surgery” on the nursing care plan. Which of the following nursing interventions would be appropriately aligned with this nursing diagnosis? Select all that apply. a) Encourage deep breathing exercises. b) Monitor and record hourly intake and output. c) Regularly assess the client’s vital signs every 2 to 4 hours. d) Maintain an open airway. e) Monitor pulmonary status as directed and needed.

Answer

• Monitor pulmonary status as directed and needed. • Regularly assess the client’s vital signs every 2 to 4 hours. • Encourage deep breathing exercises. Interventions to improve the client’s gas exchange include monitoring pulmonary status as directed and needed, assessing vital signs every 2 to 4 hours, and encouraging deep breathing exercises. Maintainin an open airway is appropriate for improving the client’s airway clearance. Monitoring and recording hourly intake and output are essential interventions for ensuring appropriate fluid balance.
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