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. The negative Doll's eye reflex is normal in infants after a few weeks of life as the reflex should disappear by 2-3 months.
B. The Moro reflex typically disappears by 4-6 months of age. Persistence beyond this age may indicate neurological issues and requires further intervention.
C. The Babinski reflex is normal in infants up to 2 years of age.
D. The crawl reflex may not be consistently present at 9 months, but it is not as concerning as the persistence of the Moro reflex.
Correct Answer is C
Explanation
A. Distracting the child might work temporarily but does not address the underlying behavior.
B. Simply telling the child that temper tantrums are not acceptable may not be effective and can lead to power struggles.
C. Ignoring the temper tantrums is often the best approach as it does not reinforce the behavior. Consistent, calm, and neutral responses can help reduce tantrum frequency.
D. Restraining the child physically can escalate the situation and is not a recommended approach.
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