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NCLEX-RN · Question #423

NCLEX-RN Question #423: Real Exam Question with Answer & Explanation

The correct answer is A. Inhale slowly and deeply through the nose until the lungs are fully expanded, hold the breath a. (A) This is the correct method of teaching diaphragmatic breathing, which allows full lung expansion to increase oxygenation, prevent atelectasis, and move secretions up and out of the lungs to decrease risk of pneumonia. (B) Quick, short breaths do not allow for full lung expans

Question

A 52-year-old client is scheduled for a small-bowel resection in the morning. In conjunction with other preoperative preparation, the nurse is teaching her diaphragmatic breathing exercises. She will teach the client to:

Options

  • AInhale slowly and deeply through the nose until the lungs are fully expanded, hold the breath a
  • BPurse the lips and take quick, short breaths approximately 18-20 times/min
  • CTake a large gulp of air into the mouth, hold it for 10-15 seconds, and then expel it through the
  • DInhale as deeply as possible and then immediately exhale as deeply as possible at a rate of

Explanation

(A) This is the correct method of teaching diaphragmatic breathing, which allows full lung expansion to increase oxygenation, prevent atelectasis, and move secretions up and out of the lungs to decrease risk of pneumonia. (B) Quick, short breaths do not allow for full lung expansion and movement of secretions up and out of the lungs. Quick, short breaths may lead to O2 depletion, hyperventilation, and hypoxia. (C) Expelling breaths through the nose does not allow for full lung expansion and the use of diaphragmatic muscles to assist in moving secretions up and out of the lungs. (D) Inhaling and exhaling at a rate of 20-24 times/min does not allow time for full lung expansion to increase oxygenation. This would most likely lead to O2 depletion and hypoxia.

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