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 C
Explanation
A. Cranberry juice is acidic and can irritate the throat, causing discomfort and potential bleeding.
B. Orange juice is also acidic and can cause similar irritation and discomfort.
C. Crushed ice is soothing, non-acidic, and helps keep the throat moist without irritating it, making it an appropriate choice post-tonsillectomy.
D. A vanilla milkshake, while not acidic, is thick and dairy-based, which can increase mucus production and may not be well tolerated initially after surgery.
Correct Answer is D
Explanation
A. The term "blood pressure" can be confusing and scary for a toddler.
B. Asking for permission might not be effective, and "lungs" might be too complex a term.
C. Asking the child to stand still can be challenging and the term "warm" might be unclear.
D. Using simple and clear language, such as "I am going to listen to your heart," helps the child understand the procedure without causing unnecessary anxiety.
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