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 B
Explanation
A. Imaginary playmates are more typical in preschool-aged children and relate to imaginative play, which is not specific to the toddler stage.
B. Negative behaviors characterized by the need for autonomy are common in toddlers, reflecting Erikson's stage of autonomy versus shame and doubt. Toddlers assert independence, often leading to negative behaviors as they test boundaries.
C. Demonstrations of sexual curiosity typically begin in the preschool years and are not characteristic of toddler psychosocial development.
D. Erikson's stage of initiative versus guilt applies to preschool-aged children, who begin to assert power and control through directing play and other social interactions.
Correct Answer is A
Explanation
A. Obtaining a detailed history is a critical first step to understand the context of the injuries, which may then lead to further actions based on the findings.
B. Asking a psychiatrist to talk with the parents might be helpful, but it is not the first step in managing suspected abuse.
C. Reporting suspected abuse to the authorities is a mandatory action for healthcare providers in cases where child abuse is suspected. However, it should be done after taking a detailed history to understand the context of the injuries.
D. Separating the child from the parents may be necessary in some cases but should be done under the guidance of authorities to ensure proper procedure and safety.
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