A nurse is teaching an adolescent to self-administer a corticosteroid medication using a metered-dose inhaler (MDI). Which of the following instructions should the nurse include? (Select all that apply)
Wait 30 seconds between puffs.
Shake the device prior to use.
Exhale quickly after medication administration.
Rinse and expectorate after administration.
Inhale slowly after medication administration.
Correct Answer : B,D,E
Choice A reason: Waiting 30 seconds between puffs allows the medication to settle and ensures the second puff is as effective as the first.
Choice B reason: Shaking the device before use helps to mix the medication properly, ensuring a consistent dose with each inhalation.
Choice C reason: Exhaling quickly after inhalation is not recommended; instead, the patient should hold their breath for a few seconds to allow the medication to reach deep into the lungs.
Choice D reason: Rinsing the mouth and expectorating after administration prevents oral thrush, a common side effect of inhaled corticosteroids.
Choice E reason: Inhaling slowly ensures that the medication is delivered deeply into the lungs for maximum efficacy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A sweat chloride content of 85 mEq/L is indicative of cystic fibrosis, as normal values are below 30 mEq/L, and values above 60 mEq/L are diagnostic for cystic fibrosis.
Choice B reason: Hard, packed stools could be a sign of cystic fibrosis but are not as diagnostic as a sweat chloride test.
Choice C reason: Increased blood levels of fat-soluble vitamins are not typically associated with cystic fibrosis; patients often have deficiencies due to malabsorption.
Choice D reason: A chest x-ray negative for atelectasis does not indicate cystic fibrosis, as atelectasis can be present in many conditions.
Correct Answer is A
Explanation
Choice A reason: Separation anxiety is common in early childhood and typically resolves as the child develops, usually by around age 2 or 3.However, it can also be present in school-age children, especially if it develops into separation anxiety disorder.
Choice B reason: This is not typically included in teaching about separation anxiety. Detachment might be a response to prolonged separation or hospitalization, but it is not a stage of separation anxiety.
Choice C reason:
While kicking a stranger can be a manifestation of separation anxiety, it’s more constructive to focus on common symptoms such as excessive worry when apart from home or family, or panic and fear at the time of separation
Choice D reason: Separation anxiety that is severe and persistent can lead to challenges in adaptability and functioning. It’s important for caregivers to recognize symptoms and seek help if the anxiety interferes with daily life.
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