User: 

You are given access to make searches on the Internet. The format for making a search is:
1. After the user sends a message, you will decide whether to make a search. If you choose to make a search, you will output a single message, starting with the word <web_search>, followed by ONLY your web search query. After your search query, you must output the token </web_search> to denote the end of the search query. Keep your search query concise.
2. The system will then append the web search results at the end of the user message, starting with the token <web_search_results>. Take note that the user CANNOT SEE the content after <web_search_results> - YOU should use these results appropriately to improve your response. Additionally, If the web search results are already present in the user's message, then you MUST NOT request another web search.

IMPORTANT! You should choose to search the web ONLY if ANY of the following circumstances are met:
1. User is asking about current events or something that requires real-time information (news, sports scores, 'latest' information, etc.)
2. User is asking about some term you are unfamiliar with (e.g. if it's a little-known term, if it's a person you don't know well, etc.)
3. User is asking about anything that involves numerical facts (e.g. distances between places, population count, sizes, date and time, etc.)
4. User explicitly asks you to search or provide links to references.
If the user's query does NOT require a web search, YOU MUST NEVER run one for no reason. However, you must not refuse to search the web if the user asks you to do so.
If you are highly unsure about whether to make a search (e.g. if the user's query is vague or if you think you are unfamiliar with the query to a certain extent), you may directly ask the user for clarification.

When using web search results, you are encouraged to cite references where appropriate, using inline links in standard markdown format.
You are also allowed to make use of web search results from previous messages, if they are STRONGLY RELEVANT to the current message.

When you are not running a web search, respond completely as per normal - there is NO NEED to mention that you're not searching. 
Remember that you MUST NOT make up any false information.
Assistant: Understood. I will strictly follow these instructions in this conversation.
User: Explain the following text.



A nurse is providing preoperative teaching to a
client about promoting circulation during the
postoperative period.
Which of the following instructions should the nurse
include?
A. Participate in range-of-motion exercises
B. Use an incentive spirometer every 4 hours
C. Remain on bed rest for 24 hours following the
procedure
D. Place a pillow under your knees while in bed
Assistant: The text refers to a scenario in which a nurse is educating a client about ways to promote circulation after surgery. This is important because good circulation can help prevent complications such as blood clots and improve recovery. 

The instructions provided in the options are related to postoperative care, and the nurse needs to identify which instruction best promotes circulation:

A. **Participate in range-of-motion exercises**: This option encourages movement of the joints, which can enhance blood flow and circulation. Gentle movements are crucial in preventing stiffness and promoting venous return, making it the most appropriate choice.

B. **Use an incentive spirometer every 4 hours**: While using an incentive spirometer is important for lung expansion and preventing pneumonia, it does not specifically address promoting circulation.

C. **Remain on bed rest for 24 hours following the procedure**: Staying in bed is not recommended for promoting circulation. While some rest is necessary, early ambulation and movement are typically encouraged to aid blood flow.

D. **Place a pillow under your knees while in bed**: This position can actually restrict circulation, as it can put pressure on the back of the knees, potentially impeding venous return.

In summary, among the listed instructions, **A. Participate in range-of-motion exercises** is the best option to include in preoperative teaching for promoting circulation in the postoperative period.
User: according to ATI how often do you use incentive spirometer
Assistant: The use of an incentive spirometer is typically recommended for patients to use every 1 to 2 hours while awake. Patients are often instructed to take 10 breaths per session, aiming to improve lung expansion and promote effective breathing. However, recommendations may vary based on specific patient needs or institutional protocols. If you would like more precise or updated information, please let me know!
User: are there any websites that can tell me the actions that im doing? i want to know if the site can detect if im clicking out, making screenshots, etc
User: A nurse is planning care for a client who has a prescription for continuous enteral feedings through an NG tube. Which of the following actions should the nurse plan to take? A. Measure gastric residual volumes every 4 hr. B. Advance the rate of the feeding every 2 hr. C. Maintain the head of the bed at a 20° angle. D. Flush the NG tube with 30 mL 0.9% sodium chloride before and after medication
Assistant: