A nurse is teaching a client who has asthma about the use of a metered-dose inhaler. Which of the following instructions should the nurse Include In the teaching?

"Hold your breath for 6 seconds after inhaling the medication."

"Inhale the medication deeply for 5 seconds."

"Do not shake the medication in the inhaler."

"Hold the inhaler 3 inches away from your mouth."

Answer and Explanation

The Correct Answer is B

A. "Hold your breath for 6 seconds after inhaling the medication." – The correct recommendation is to hold the breath for at least 10 seconds to allow maximum medication absorption in the lungs.

B. "Inhale the medication deeply for 5 seconds." – A slow, deep inhalation (3-5 seconds) allows the medication to reach the lower airways effectively.

C. "Do not shake the medication in the inhaler." – Most metered-dose inhalers (MDIs) need to be shaken before use to ensure proper mixing of medication. Exceptions include dry powder inhalers (DPIs), which should not be shaken.

D. "Hold the inhaler 3 inches away from your mouth." – The correct distance is 1 to 2 inches (2-4 cm) from the mouth, or the mouthpiece can be placed directly into the mouth with lips sealed around it.

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Correct Answer is B

Explanation

A. "Picture yourself in one of your favorite places." This statement is related to visualization, which is a different technique, not specifically meditation.

B. "Choose a word to help focus your attention." Mantra meditation involves repeating a word or phrase to enhance focus and promote relaxation.

C. "Quickly inhale deeply and hold your breath for 30 seconds." Holding the breath for 30 seconds can increase anxiety rather than reduce it. Meditation encourages slow, deep breathing, not breath-holding.

D. "Plan for 1 hour of meditation for each session." Meditation can be beneficial even if done for a few minutes. For beginners, shorter sessions (e.g., 5–10 minutes) are recommended.

A. Ask the client to tilt their head back when swallowing. B. Have the client sit upright for 1 hr following meals. C. Administer liquids to the client using a syringe. D. Allow the client to rest for 10 min prior to eating.

Correct Answer is B

Explanation

A. Ask the client to tilt their head back when swallowing. Tilting the head back increases the risk of aspiration by opening the airway. Instead, the "chin tuck" method is recommended.

B. Have the client sit upright for 1 hr following meals. Sitting upright for an extended period reduces the risk of aspiration by allowing gravity to assist in digestion.

C. Administer liquids to the client using a syringe. Using a syringe can increase the risk of aspiration and does not allow the client to control swallowing.

D. Allow the client to rest for 10 min prior to eating. While rest may help conserve energy, it is not a priority intervention for dysphagia management.

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A nurse is teaching a client who has asthma about the use of a metered-dose inhaler. Which of the following instructions should the nurse Include In the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning teaching about meditation for a client who reports feeling anxious. Which of the following statements should the nurse Include in the teaching?

Correct Answer is B

Explanation

A nurse is updating a plan of care after an evaluation of a client who has dysphagia. Which of the following interventions should the nurse Include In the plan?

Correct Answer is B

Explanation

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