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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Correct Answer is B

Explanation

A) Discontinue medication if nausea occurs:
While nausea can be a side effect of cyclobenzaprine, it is not typically a reason to discontinue the medication immediately. The client should contact their healthcare provider if they experience nausea or other side effects, but discontinuation should be based on medical advice.

B) Avoid driving until effects are known:
Cyclobenzaprine is a muscle relaxant that can cause drowsiness, dizziness, or impaired cognitive function. It is important for clients to avoid driving or operating heavy machinery until they are aware of how the medication affects them and if they can do so safely.

C) Monitor for increased muscle spasms:
Cyclobenzaprine is prescribed to reduce muscle spasms, so an increase in muscle spasms would be contrary to the intended effect of the medication. Clients should monitor for effectiveness and report any increase in symptoms to their healthcare provider.

D) Expect urine to turn orange:
Cyclobenzaprine does not typically cause urine to change color. Urine discoloration is not a common side effect of this medication. Clients should be informed about possible side effects, but urine discoloration is not associated with cyclobenzaprine.

A. Bounding pulse B. Urine-specific gravity greater than 1.030 C. Pitting edema D. Swelling at the IV site E. Crackles upon auscultation

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

Explanation

A) Bounding pulse:
A bounding pulse is a common sign of fluid volume excess. It indicates increased blood volume and pressure in the circulatory system, often associated with conditions such as heart failure or renal issues.

B) Urine-specific gravity greater than 1.030:
A urine-specific gravity greater than 1.030 typically indicates dehydration or concentrated urine rather than fluid volume excess. In cases of fluid volume excess, the urine-specific gravity is usually lower due to diluted urine.

C) Pitting edema:
Pitting edema, where pressure applied to the skin leaves a temporary indentation, is a clear sign of fluid volume excess. It indicates that excess fluid has accumulated in the tissues, commonly observed in conditions like heart failure or kidney dysfunction.

D) Swelling at the IV site:
Swelling at the IV site can indicate localized issues such as infiltration or phlebitis rather than generalized fluid volume excess. It is not typically a direct indicator of fluid overload.

E) Crackles upon auscultation:
Crackles (rales) heard upon auscultation of the lungs are a sign of fluid in the alveoli, which can be associated with fluid volume excess. This finding suggests that excess fluid is impacting pulmonary function, often seen in heart failure or severe fluid overload.

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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

A nurse is teaching a client who has a new prescription for cyclobenzaprine. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

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

Explanation

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