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.”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Initiate fundal massage: Fundal massage is typically used postpartum to stimulate uterine contraction and prevent hemorrhage, not during active labor, so this is not appropriate at this stage.
B. Apply a fetal heart rate monitor: Monitoring the fetal heart rate is essential after membrane rupture to assess fetal well-being and detect signs of distress during labor, making this the priority action.
C. Insert an indwelling urinary catheter: While sometimes necessary during labor if the client cannot void, catheter insertion is not a routine first action and depends on the client’s condition and labor progress.
D. Initiate an oxytocin IV infusion: Oxytocin is used to induce or augment labor but should only be started based on the healthcare provider’s order and assessment of labor progression, not immediately after membrane rupture.
Correct Answer is C
Explanation
A. Grilled hot dog with French fries: Hot dogs may contain fillers with gluten, and cross-contamination in fries is common if shared fryers are used, making this choice unsafe.
B. Oatmeal cookie with raisins: Unless the oats are certified gluten-free, they may be contaminated with gluten during processing, posing a risk for children with celiac disease.
C. Baked sweet potato with cinnamon: Sweet potatoes are naturally gluten-free, and cinnamon is safe as well. This option provides a nutritious and safe food for a child with celiac disease.
D. Hazelnut butter on wheat toast: Wheat toast contains gluten and should be strictly avoided in individuals with celiac disease, even if the topping is gluten-free.
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