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A nurse is providing teaching to a school-age child about using an inhaler with a mouthpiece to manage asthma exacerbation. Identify the order in which the nurse should instruct the client to perform the steps. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Press down on the canister top.

Attach the spacer.

Shake the haler.

Hold breath for 10 seconds.

Place lips around the mouthpiece.

Answer and Explanation

The Correct Answer is B,C,E,A,D

B. Attach the spacer.: Attaching the spacer first ensures that the inhaler is properly connected and ready for use.

C. Shake the inhaler.: Shaking the inhaler is essential to mix the medication thoroughly before use.

E. Place lips around the mouthpiece.: Placing the lips around the mouthpiece is done while the inhaler is ready to be activated.

A. Press down on the canister top.: Pressing the canister releases the medication into the spacer, which the client will then inhale.

D. Hold breath for 10 seconds.: Holding the breath allows the medication to be fully absorbed into the lungs.

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Correct Answer is D

Explanation

A) Potatoes: Potatoes are not particularly high in oxalates and can be included in the diet for individuals who have had calcium oxalate renal calculi. They do not significantly contribute to oxalate levels and are generally considered safe for those managing this type of kidney stone.

B) Mushrooms: While mushrooms are a nutritious food, they do not have a high oxalate content compared to other foods. Therefore, they are not a primary concern for individuals managing calcium oxalate stones.

C) Eggs: Eggs are low in oxalates and do not contribute significantly to the formation of calcium oxalate renal stones. They are a good source of protein and can be included in the diet.

D) Spinach: Spinach is high in oxalates and should be limited in the diet of individuals who have experienced calcium oxalate renal calculi. High oxalate foods can contribute to the formation of calcium oxalate stones, so limiting spinach can help reduce the risk of recurrence.

A. Fever B. Hypernatremia C. Hypertension D. Hypoglycemia

Correct Answer is B

Explanation

A) Fever: Myxedema coma is characterized by hypothermia rather than fever. The client with myxedema coma may experience a lowered body temperature, reflecting the severe hypothyroidism associated with this condition.

B) Hypernatremia: Hypernatremia, or elevated sodium levels, is a common finding in myxedema coma. This occurs due to impaired renal function and decreased aldosterone levels, leading to an imbalance in electrolytes, including sodium.

C) Hypertension: Typically, myxedema coma presents with hypotension rather than hypertension. The condition is associated with decreased cardiac output and low blood pressure, not elevated blood pressure.

D) Hypoglycemia: In myxedema coma, hypoglycemia is not typically expected. Instead, patients may experience hypoglycemia due to reduced metabolic rate and decreased glycogen stores. However, hyperglycemia is more commonly observed in other endocrine disorders, not specifically in myxedema coma.

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Naxlex Comprehensive Predictor Exams

A nurse is assisting a client who has recently passed a calcium oxalate renal calculus with making dietary menu selections. The nurse should recommend the client limit the intake of which of the following foods?

Correct Answer is D

Explanation

A nurse is reviewing the medical record for a client who has hypothyroidism and is experiencing myxedema coma. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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