A nurse is providing teaching about the use of metered-dose inhalers to a client who has asthma. Which of the following instructions should the nurse include?

"Hold your breath for 10 seconds after each puff."

"Inhale rapidly for 1 to 2 seconds after depressing the canister."

“Hold the mouthpiece 4 Inches away from your open mouth.”

"Tilt your head forward while inhaling.”

Answer and Explanation

The Correct Answer is A

A. "Hold your breath for 10 seconds after each puff.": This allows the medication to deposit deeply into the airways, enhancing absorption and therapeutic effect. It is a key step in proper MDI technique.
B. "Inhale rapidly for 1 to 2 seconds after depressing the canister.": Inhalation should be slow and deep over 3 to 5 seconds to allow proper delivery of the medication into the lungs.
C. “Hold the mouthpiece 4 inches away from your open mouth.”: The preferred technique is to place the mouthpiece directly in the mouth with lips sealed around it unless a spacer is used.
D. "Tilt your head forward while inhaling.": The correct method is to tilt the head slightly back to open the airway and facilitate deeper inhalation of the medication.

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Correct Answer is D

Explanation

A. Sit next to the client when speaking to them: Sitting in front of the client is more effective, as it allows the client to see the nurse’s facial expressions and lip movements, which can aid comprehension.
B. Lower the tone of voice at the end of each sentence: Lowering tone may make speech harder to hear. Many people with hearing loss have difficulty hearing low-pitched sounds, so lowering the tone can reduce clarity.
C. Emphasize vowel sounds when speaking: Vowel sounds are softer and less distinct than consonants. Emphasizing consonants and speaking clearly at a moderate pace is more effective than focusing on vowels.
D. Decrease background noise when talking with the client: Reducing background noise enhances the client's ability to hear and understand by minimizing auditory distractions, making this the most helpful communication strategy.

A. Insert an indwelling urinary catheter. B. Administer packed RBCs. C. Place a large-bore IV catheter in an upper extremity. D. Obtain a specimen for ABC analysis.

Correct Answer is C

Explanation

A. Insert an indwelling urinary catheter: Monitoring urine output is essential for assessing renal perfusion and fluid status. However, it should be done only after hemodynamic stability is established and internal bleeding is ruled out, as catheterization can pose risks if pelvic fractures are present.
B. Administer packed RBCs: Blood transfusion is necessary if the client is actively bleeding or hemodynamically unstable. However, access must first be secured to safely administer the transfusion, making IV insertion a priority.
C. Place a large-bore IV catheter in an upper extremity: Establishing IV access is the first step in stabilizing a trauma patient. It allows for rapid fluid resuscitation, administration of medications, and drawing of lab specimens necessary for further assessment.
D. Obtain a specimen for ABG analysis: Evaluating gas exchange and acid-base balance is important in trauma care, but it is not immediately life-saving. It should follow stabilization efforts like fluid resuscitation and hemorrhage control.

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A nurse is providing teaching about the use of metered-dose inhalers to a client who has asthma. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has hearing loss. While communicating with the client which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse in an emergency department is planning care for a client who has abdominal trauma from a motor-vehicle crash. Which of the following provider prescriptions should the nurse implement first?

Correct Answer is C

Explanation

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