A nurse is teaching a client who has asthma how to use a metered-dose inhaler (MDI). The nurse identifies the sequence of steps the client should follow. (Move the steps, placing them in the selected order of performance. Use all steps.)

Breathe in deeply over 2 to 3 seconds while pushing down on the canister.

Wait 60 seconds between each puff.

Place her lips firmly around the mouthpiece.

Exhale slowly through pursed lips.

Inhale deeply and then exhale completely.

Hold her breath for 10 seconds.

Answer and Explanation

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

F. Inhale deeply and then exhale completely: This ensures that the airways are clear before inhaling the medication.
D. Place her lips firmly around the mouthpiece: A tight seal around the mouthpiece is important to prevent the medication from escaping and to ensure that it reaches the lungs.
A. Breathe in deeply over 2 to 3 seconds while pushing down on the canister: This action releases the medication into the lungs. It's important to inhale slowly and deeply to maximize the delivery of the medication.
G. Hold her breath for 10 seconds: Holding the breath allows the medication to settle into the lungs, increasing its effectiveness.
E. Exhale slowly through pursed lips: Exhaling slowly helps to prevent the medication from being exhaled too quickly and reduces the risk of irritation to the airways.
C. Wait 60 seconds between each puff: If more than one puff is prescribed, waiting 60 seconds between puffs allows the medication from the first puff to settle into the lungs before inhaling the second puff.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Primary hypertension, also known as essential hypertension, is characterized by high blood pressure without an identifiable or specific medical cause. It is the most common type of hypertension, and its development is thought to result from a combination of genetic, environmental, and lifestyle factors.
B. This statement is misleading. While hypertension can be severe, primary hypertension is not defined by its severity or immediate life-threatening nature. Instead, primary hypertension can range from mild to severe, but the key characteristic is the absence of a specific underlying cause.
C. While treating hypertension is important, the term "essential" in primary hypertension refers to its lack of a known cause, not the urgency or necessity of treatment. This option could confuse the terminology as it does not accurately define the type of hypertension.
D. This statement describes secondary hypertension, which occurs as a result of another medical condition (e.g., kidney disease, hormonal disorders). Primary hypertension, in contrast, does not have a direct identifiable cause.

A. "Has your child been exposed to any of the usual asthma triggers?" B. "What time did your child's symptoms begin?" C. "When was your child's last dose of medication?" D. "When was your child last admitted to the hospital with asthma?"

Correct Answer is C

Explanation

A. While this information is important for understanding the cause of the asthma exacerbation, it is not the most critical piece of information needed for immediate treatment.
B. Knowing when the symptoms began can help determine the severity of the exacerbation and the need for additional interventions. However, it is not as important as knowing the last dose of medication.
C. This information is crucial for determining the appropriate treatment. If the child has not received their regular medications as prescribed, they may need additional doses to manage the exacerbation.
D. Knowing the child's history of asthma exacerbations is important for assessing the severity of the current episode and planning long-term management. However, it is not the most critical piece of information needed for immediate treatment.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is teaching a client who has asthma how to use a metered-dose inhaler (MDI). The nurse identifies the sequence of steps the client should follow. (Move the steps, placing them in the selected order of performance. Use all steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A student nurse asks what "primary hypertension" is. What is the best response by the registered nurse?

Correct Answer is A

Explanation

A school-age child is admitted to the ER with status asthmaticus. The parent states the child is taking montelukast, albuterol, and fluticasone. Which is the most important piece of information that the nurse needs to ask the parent to best treat the child?

Correct Answer is C

Explanation

It is important for a patient with acute streptococcal pharyngitis be treated with antibiotics to prevent which disease process?

A nurse is providing teaching to the parents of a child who has streptococcal pharyngitis about ways to prevent disease transmission. Which of the following responses by the parents indicates an understanding of the teaching?

The nurse is assessing a patient who is diagnosed with tuberculosis. Which assessment finding correlates with this diagnosis?

The physician orders a unit of packed red blood cells (PRBC) to infuse in 2 hours. The unit contains 250 mL. The blood tubing administration set has a drop factor of 10 gtt/mL. The flow rate for the infusion of packed red blood cell is gtt/min. (Round to the nearest drop)

The nurse is caring for a homeless patient at risk for tuberculosis (TB). Which clinical manifestations of the disease would the nurse include in the teaching plan? (Select All that Apply.)

The nurse is evaluating the patients understanding of education on environmental control for asthma management. Which statement by the patient indicates effective teaching?

A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications?

Which interventions does the nurse implement when providing care for a patient who is admitted for the treatment of active tuberculosis? (Select All that Apply.)