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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: The FACES scale is not typically used for infants as they cannot verbally express or select a face that correlates with their pain level.

Choice B reason: The Oucher scale requires a child to point to a face that shows how much pain they are feeling, which is not suitable for infants who cannot communicate their pain verbally.

Choice C reason: The FLACC scale is appropriate for infants as it assesses pain based on five categories of behavior: Facial expression, Leg movement, Activity, Cry, and Consolability.

Choice D reason: The Non-communicating children's pain checklist is designed for children with cognitive impairments and is not the best choice for assessing pain in infants.

A. Clubbing of the fingers B. Weak femoral pulses C. Cool skin of lower extremities D. Low blood pressure E. Severe cyanosis

Correct Answer is ["B","C"]

Explanation

Choice A reason: Clubbing of the fingers is not typically associated with coarctation of the aorta; it is more commonly seen in chronic hypoxia conditions.

Choice B reason: Weak femoral pulses are expected in coarctation of the aorta due to the narrowing of the aorta, which can reduce blood flow to the lower extremities.

Choice C reason: Cool skin of the lower extremities can be a result of decreased blood flow due to the narrowed aorta in coarctation.

Choice D reason: High blood pressure is more commonly associated with coarctation of the aorta, especially in the upper body, due to the narrowing of the aorta increasing resistance to blood flow⁷.

Choice E reason: Severe cyanosis can occur in coarctation of the aorta if there is a significant obstruction to blood flow, leading to poor oxygenation.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is completing a pain assessment on an infant. Which of the following pain scales should the nurse use?

Correct Answer is C

Explanation

A nurse is assessing an infant who has coarctation of the aorta. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["B","C"]

Explanation

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