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
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Correct Answer is A
Explanation
A. Decreased stridor indicates that the airway obstruction is improving, which is a primary goal of treatment for laryngotracheobronchitis.
B. While improved hydration is important, it does not directly measure the effectiveness of the cool mist tent treatment.
C. Decreased temperature can occur for various reasons and is not specific to the treatment of laryngotracheobronchitis.
D. A barking cough is a symptom of laryngotracheobronchitis and its persistence would not indicate improvement.
Correct Answer is A
Explanation
A. Explaining that it is a legal requirement for nurses to report suspected child abuse is appropriate and provides a clear and factual reason for the nurse's actions.
B. Deferring to the provider may delay addressing the parent's concerns and does not directly answer the question.
C. Shifting responsibility to the supervisor is not appropriate and can confuse the parent about the process.
D. Saying that the nurse is unable to discuss the matter without further explanation can increase the parent's frustration and does not provide clarity.
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