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.

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["10"]

Explanation

Calculating the Diphenhydramine Dose

Problem: Administer 25 mg of diphenhydramine elixir. The available concentration is 12.5 mg/5 mL.

Steps:

Set up a proportion:

We want to find the number of milliliters (mL) needed.

We know the desired dose (25 mg) and the concentration of the medication (12.5 mg/5 mL).

Proportion:

x mL / 25 mg = 5 mL / 12.5 mg

Cross-multiply:

12.5x = 125

Solve for x:

x = 125 / 12.5

x = 10

Answer: The nurse should administer 10 mL of diphenhydramine elixir per dose.

A. Provide educational material written at a 9th grade reading level. B. Begin the session with the least important information. C. Use active listening methods during the session. D. Ask the client open-ended questions during the session. E. Use the teach-back method during the session.

Correct Answer is ["C","D","E"]

Explanation

C) Use active listening methods during the session:
Active listening is crucial in educational sessions as it ensures the nurse fully understands the client’s needs and concerns. It involves attentively listening to the client, responding to their questions, and adapting the teaching to their feedback. This fosters effective communication and enhances learning.

D) Ask the client open-ended questions during the session:
Open-ended questions encourage clients to express their thoughts and provide more detailed responses. This approach helps the nurse assess the client’s understanding and identify any areas where further explanation might be needed. It also promotes a more interactive and engaging teaching process.

E) Use the teach-back method during the session:
The teach-back method involves asking the client to repeat the information in their own words to confirm their understanding. This technique is effective in reinforcing learning and identifying any gaps in the client’s comprehension, ensuring they are well-informed about their medication.

A) Provide educational material written at a 9th-grade reading level:
While providing educational material at an appropriate reading level is important, it is not selected here because the question focuses on strategies to use during the teaching session rather than the written material itself.

B) Begin the session with the least important information:
Beginning with the least important information is not an effective teaching strategy. It is better to start with the most critical points to ensure the client understands the essential aspects of their medication.

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A nurse is preparing to administer a metered dose inhaler (MDI) medication to a client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["10"]

Explanation

A nurse is preparing to teach a client about a new medication. Which of the following strategies should the nurse plan to use?(Select All that Apply.)

Correct Answer is ["C","D","E"]

Explanation

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