A nurse is teaching a child who has asthma about using a metered-dose inhaler with a mouthpiece. Identify the sequence of steps the nurse should instruct the child to take. (Move the steps below into the box on the right, placing them in the order of performance. Use all the steps.)
Remove the inhaler from the mouth.
Depress the canister while inhaling slowly.
Hold breath for 10 seconds.
Exhale slowly through the nose.
The Correct Answer is D,B,C,A
D. Before using the inhaler, the child should exhale fully to empty the lungs and ensure that the medication can be effectively inhaled. This step prepares the airways to receive the medication.
B. As the child starts to inhale slowly and deeply through the mouthpiece, they should simultaneously depress the canister to release the medication. This coordinated action ensures that the medication is delivered into the lungs.
C. After inhaling the medication, the child should hold their breath for about 10 seconds (or as long as comfortable). This allows the medication to settle in the airways and improves its effectiveness.
A. After holding the breath, the child can remove the inhaler from their mouth. This step concludes the inhalation process and allows the child to exhale normally.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Bedside computer keyboards are frequently touched by healthcare providers, visitors, and sometimes the patient themselves. This constant contact can lead to the accumulation of bacteria and viruses, making it a common source of healthcare-associated infections.
B. While protective gowns can harbor microorganisms, they are typically single-use items and disposed of after each patient, minimizing the risk of infection transmission.
C. Unopened formula bottles are sterile and not a source of infection.
D. Disposable diapers are designed to be hygienic and are not a significant source of infection.
Correct Answer is B
Explanation
A. Receiving IV fluids is important but it doesn't typically put a child at risk for insufficient vascular perfusion unless there are complications like fluid overload or infiltration.
B. A spica cast can restrict movement and potentially impair circulation to the affected limb, increasing the risk of insufficient vascular perfusion.
C. A urinary tract infection primarily affects the urinary system and doesn't directly impact vascular perfusion.
D. Otitis media is an ear infection and does not typically affect vascular perfusion.
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