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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Maintaining the child's airway is critical, but it should follow after calling for help and checking for a pulse to assess the need for resuscitation.
B. Calling for help ensures additional support arrives while checking for a pulse determines the need for initiating CPR if the child is pulseless.
C. Starting chest compressions is necessary if the child is confirmed to be pulseless after checking for a pulse.
D. Informing the physician is important, but immediate resuscitative actions take priority to ensure the child's survival.
Correct Answer is B
Explanation
A. Babbling one-syllable sounds is appropriate for a 7-month-old infant and indicates typical language development.
B. Using a unidextrous grasp (using only one hand) could indicate a preference that needs further evaluation. At this age, infants should use both hands equally, and a strong preference for one hand might signal neurological concerns.
C. Fear of strangers is a normal developmental milestone that typically appears around 6-8 months of age.
D. Showing preferences towards foods is typical as infants begin to develop tastes and preferences during the introduction of solid foods.
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