A nurse is providing discharge teaching to a client has a new prescription for a metered dose inhaler (MDI). Which of the following instructions should the nurse include in the teaching?
Shake the inhaler for 3 to 5 seconds.
Wait 2 min between inhalations.
Press down twice on the MDI canister.
Rinse the mouth with mouthwash after inhaling the medication.
The Correct Answer is A
A. Shaking the inhaler for 3 to 5 seconds ensures the medication is properly mixed for an accurate dose.
B. For most medications delivered by MDI, waiting a few seconds between inhalations is sufficient, not 2 minutes.
C. Pressing down twice on the MDI canister is incorrect. The correct technique involves pressing the canister once while inhaling deeply.
D. Rinsing the mouth with mouthwash after inhaling the medication is not necessary. However, it is important to rinse the mouth with water, especially after using corticosteroid inhalers, to prevent oral thrush.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Offering oral fluids can help keep the child hydrated but does not directly aid in bronchodilation.
B. Oral analgesics may help with pain but do not address airway obstruction or inflammation.
C. Racemic epinephrine nebulizer therapy is effective in reducing airway swelling and providing bronchodilation, improving breathing in croup.
D. Teaching the child to take long, slow breaths can help with calmness but is not as effective in acute bronchodilation.
Correct Answer is C
Explanation
A. Homosexuality can be a risk factor for suicide due to associated stigmatization and bullying, but it is not the greatest risk compared to active psychiatric disorders.
B. Family conflict is a significant stressor and risk factor, but not the highest compared to active psychiatric disorders.
C. An active psychiatric disorder, such as depression or anxiety, is the greatest risk factor for suicide. Adolescents with psychiatric disorders have higher rates of suicidal ideation and attempts.
D. Availability of firearms increases the lethality of suicide attempts but is not a risk factor by itself without the presence of other significant factors like psychiatric disorders.
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