A nurse is preparing to administer a metered dose inhaler (MDI) medication to a client. Which of the following actions should the nurse take?
Ask the client to inhale the medication quickly for 1 second.
Ask the client to hold their breath for 2 seconds after inhalation.
Shake the MDI prior to administration.
Wash the MDI canister in warm water after each use.
The Correct Answer is C
A) Ask the client to inhale the medication quickly for 1 second:
The client should inhale the medication slowly and deeply, not quickly. A rapid inhalation can reduce the effectiveness of the medication as it may not reach the deeper parts of the lungs effectively.
B) Ask the client to hold their breath for 2 seconds after inhalation:
The client should hold their breath for about 10 seconds after inhalation to allow the medication to settle in the lungs and be absorbed. Holding the breath for just 2 seconds is typically insufficient for optimal medication delivery.
C) Shake the MDI prior to administration:
Shaking the MDI before use is important to ensure that the medication is properly mixed and delivered in the correct dose. Failure to shake the MDI can result in an uneven distribution of medication.
D) Wash the MDI canister in warm water after each use:
The MDI canister should not be washed frequently, as this can affect the device's function and lead to potential contamination. The canister should be cleaned as per the manufacturer’s instructions, typically every few days or as needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A) Erythema:
Erythema, or redness of the skin at the IV insertion site, is a common sign of phlebitis. It indicates inflammation of the vein wall and is often one of the first observable symptoms.
B) Streak formation:
Streak formation along the path of the vein is a characteristic sign of phlebitis. It indicates that the inflammation is extending along the vein, which can be indicative of more severe irritation or infection.
C) Damp dressing:
A damp dressing may indicate leakage or poor adherence, but it is not a specific sign of phlebitis. Phlebitis is primarily associated with symptoms of redness, warmth, and tenderness, rather than the condition of the dressing.
D) Warmth at insertion site:
Warmth at the insertion site is another manifestation of phlebitis. It indicates increased blood flow to the area as a response to inflammation and irritation.
E) Throbbing:
Throbbing or pain at the insertion site is a common symptom of phlebitis. It results from inflammation of the vein and can be a sign of the condition's progression.
Correct Answer is C
Explanation
A) Ataxia:
Ataxia is not a classic symptom of digoxin toxicity. It is more commonly associated with other neurological conditions or medications.
B) Photosensitivity:
Photosensitivity is not typically linked to digoxin toxicity. It is more often associated with certain other medications or conditions.
C) Anorexia:
Anorexia is a common early symptom of digoxin toxicity. It often accompanies other signs such as nausea, vomiting, and visual disturbances. Early recognition of these symptoms is crucial for prompt management of toxicity.
D) Jaundice:
Jaundice is not a common manifestation of digoxin toxicity. It is generally related to liver conditions or issues affecting bilirubin metabolism.
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