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 B
Explanation
A. Croup typically presents with a barking cough, stridor, and hoarseness.
B. Bronchiolitis is commonly caused by RSV and presents with symptoms such as sneezing, coughing, nasal congestion, intermittent fever, and apneic spells in infants.
C. Influenza often includes high fever, body aches, and cough, but not typically apneic spells in infants.
D. Epiglottitis is characterized by sudden onset of fever, sore throat, dysphagia, and drooling, and is a medical emergency.
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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