A nurse is providing discharge teaching for a client who has asthma and a new prescription for a metered-dose inhaler.

Which of the following client statements indicates an understanding of the teaching?

"I should clean the cap of the inhaler once per week.".

"I should inhale the medication quickly".

"I should shake the inhaler before I use it.".

"I should wait 15 seconds between puffs.".

Answer and Explanation

The Correct Answer is C

This statement indicates an understanding of the teaching because shaking the inhaler helps to mix the medicine inside the canister.

Choice A is incorrect because it is not necessary to clean the cap of the inhaler once per week.
Instead, it is important to clean the inhaler at least once a week or as directed.
Choice B is incorrect because one should inhale the medication slowly, not quickly.
Choice D is incorrect because one should wait 1 minute between puffs, not 15 seconds.

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Correct Answer is A

Explanation

Let’s break down the problem step by step:

Step 1: Convert the client’s weight from pounds (lb) to kilograms (kg). We know that 1 kg = 2.2 lbs. So, we have: 220 lb ÷ 2.2 = 100 kg

Step 2: Calculate the total amount of naloxone needed. The doctor ordered 10 mcg/kg, and the client weighs 100 kg. So, we have: 10 mcg/kg × 100 kg = 1000 mcg

Step 3: Convert micrograms (mcg) to milligrams (mg). We know that 1 mg = 1000 mcg. So, we have: 1000 mcg ÷ 1000 = 1 mg

Step 4: Calculate the volume of naloxone solution needed. The available naloxone solution is 0.4 mg/mL. So, we have: 1 mg ÷ 0.4 = 2.5 mL

So, the nurse should administer 2.5 mL of naloxone. Since we are asked to round off to the nearest tenth, the final answer remains 2.5 mL.

A. "Itching indicates you are having an allergic reaction to the medication.". B. "Monitor urinary output for retention.". C. "Restrict fluid intake if you experience constipation.". D. "Avoid taking antiemetics with the medication.".

Correct Answer is B

Explanation

“Monitor urinary output for retention.” Urinary retention is a common side effect of opioid use and should be monitored.
Choice A is not correct because itching can be a side effect of opioids and does not necessarily indicate an allergic reaction.
Choice C is not correct because restricting fluid intake can worsen constipation.
Choice D is not correct because antiemetics may be prescribed to manage nausea and vomiting, which are common side effects of opioids.

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A nurse is providing discharge teaching for a client who has asthma and a new prescription for a metered-dose inhaler. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer naloxone 10 mcg/kg via IV bolus to a client who weighs 220 lb. The amount available is 0.4 mg/mL. How many mL should the nurse administer? (round off to the nearest tenth)

Correct Answer is A

Explanation

A nurse is providing teaching to a client who is receiving opioids for pain management. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

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A nurse is providing discharge teaching for a client who has asthma and a new prescription for a metered-dose inhaler.

Which of the following client statements indicates an understanding of the teaching?