A nurse is teaching a client who has chronic obstructive pulmonary disease and is to start using fluticasone by MDI twice daily. Which of the following instructions should the nurse include?

"Skip the morning dose if you do not have any symptoms."

"Use this medication to relieve an acute attack."

"Check your heart rate before each dose."

"Inspect your mouth for lesions daily."

Answer and Explanation

The Correct Answer is D

A. Fluticasone should be used regularly to prevent symptoms, not skipped based on symptom presence.
B. Fluticasone is a maintenance medication and is not effective for acute attacks.
C. Checking heart rate is not necessary with fluticasone use.
D. Inspecting the mouth for lesions daily is important to detect oral thrush, a potential side effect of inhaled corticosteroids.

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Correct Answer is B

Explanation

Rationale:
A. The first step should involve preparing the NPH insulin by injecting air into the vial.
B. Injecting air into the NPH insulin vial ensures that the proper amount of insulin can be withdrawn without creating a vacuum.
C. Needle replacement with a safety needle is important for safety but occurs after preparing the insulin.
D. Injecting air into the regular insulin vial is not the initial step in preparing mixed insulin.

A. Increase intake of low fiber foods. B. Avoid drinking hot liquids. C. Include probiotic foods in the daily diet. D. Increase fluid intake to 1500 mL daily. E. Increase daily exercise. F. Increase daily exercise.

Correct Answer is ["C","D","E"]

Explanation

A. Increasing the intake of high-fiber foods, not low-fiber ones, as fiber helps to soften stools and promote bowel movements.
B. Drinking warm or hot liquids can stimulate bowel movements, so they should not be avoided.
C. Including probiotic foods in the diet can help maintain a healthy gut flora, which is beneficial for digestion and preventing constipation.
D. It is crucial to increase fluid intake, aiming for at least 1500 mL daily, to help soften the stool and support regular bowel movements.
E. Increasing daily exercise, especially walking, can stimulate the muscles involved in the digestive process and help prevent constipation.

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A nurse is teaching a client who has chronic obstructive pulmonary disease and is to start using fluticasone by MDI twice daily. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes mellitus. When mixing the two types of insulin, which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse in an emergency department is caring for a client who has abdominal pain. Exhibits A nurse is providing teaching to a client who has constipation. Which of the following information should the nurse include? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

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