When providing teaching to a patient,which action is important to help the patient in performing controlled coughing?

A) Repeat the breathing exercises twice.
B) Cough 2 to 3 times and inhale between coughs.
C) Place a pillow over the incisional site for splinting.
D) Use the chest and shoulder muscles while inhaling during diaphragmatic breathing.

In assisting a male patient in using a urinal,which of the following actions should the nurse take? (Select all that apply. )

A) Assess for orthostatic hypotension.
B) Assess the patient's normal elimination habits.
C) Assess for periods of incontinence.
D) Prop the urinal in place if the patient is unable to hold it.
E) Always stay with the patient during urinal use.

The nurse is performing a focused bowel assessment on an older adult.Which of the following physiological changes of aging should alert the nurse to an increased risk for problems associated with bowel elimination? Select all that apply.

A) Decreased sphincter control
B) Decreased peristalsis
C) Increased intestinal muscle tone
D) Decreased physical activity

The nurse is assessing a patient who is intubated and on a ventilator.When listening above the sternal notch with a stethoscope,the nurse notes a minimal amount of air leak at the end of inspiration.Which action by the nurse is appropriate?

A) Remove all air from the cuff and reinflate the cuff until no air leak is present.
B) Note that the cuff is properly inflated.
C) Notify the health care provider.
D) Suction the patient.

The nurse is preparing a discharge teaching plan for a patient who has peripheral vascular disease and has poor circulation to the feet. Which learning goal should the nurse include in the teaching plan?

A) The nurse will demonstrate the proper technique for trimming toenails.
B) The patient will understand the rationale for proper foot care after instruction.
C) The nurse will instruct the patient on appropriate foot care before discharge.
D) The patient will post reminder stickers on the calendar to check feet every day and record scheduled appointments with podiatrist.

An appropriate technique for the nurse to implement when obtaining throat cultures is to:

A) have the patient lie flat in the bed.
B) do the culture before meals or an hour after meals.
C) avoid touching the swab to any of the inflamed areas.
D) place pressure on the tongue blade along the back of the tongue.