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 into the box on the right, placing them in the selected order of performance. Use all steps.)

Inhale deeply and then exhale completely.

Place her lips firmly around the mouthpiece.

Hold her breath for 10 seconds.

Exhale slowly through pursed lips.

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

Wait 60 seconds between each puff.

Answer and Explanation

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

Inhale deeply and then exhale completely: This step helps to empty the lungs, making room for the medication to be inhaled effectively.

Place her lips firmly around the mouthpiece: Ensuring a tight seal around the mouthpiece prevents the medication from escaping and ensures proper delivery to the lungs.

Breathe in deeply over 2 to 3 seconds while pushing down on the canister: Coordinating the inhalation with the activation of the canister ensures that the medication is inhaled deeply into the lungs.

Hold her breath for 10 seconds: Holding the breath allows the medication to settle in the lungs and increase its effectiveness.

Exhale slowly through pursed lips: This helps to maintain the medication in the lungs for as long as possible and promotes better absorption.

Wait 60 seconds between each puff: Waiting between puffs allows time for the medication to take effect and ensures that the next dose will be more effective.

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Correct Answer is ["1370"]

Explanation

To calculate the total output of the client, the nurse would add together all the measured outputs. The client voided 400 mL at 1100 and 350 mL at 1430, which totals 750 mL. The closed chest drainage system shows an increase from 155 mL to 175 mL, indicating an output of 20 mL. The NG tube has 575 mL in the drainage container. Additionally, 25 mL was emptied from the Jackson-Pratt drainage tube. Adding these amounts together (750 mL + 20 mL + 575 mL + 25 mL), the total output recorded by the nurse should be 1370 mL.

A. Airway patency B. Temperature C. Pain control D. Urination

Correct Answer is A

Explanation

A. Airway patency is the highest priority following a thyroidectomy due to the risk of airway obstruction from swelling or hematoma formation near the surgical site. Compromised airway can lead to respiratory distress and requires immediate attention.

B. While monitoring temperature is important for detecting potential infections, it is not the immediate priority.

C. Pain control is important for comfort and recovery, but it is not life-threatening.

D. Urination should be monitored postoperatively, but it is not as critical as ensuring a patent airway.

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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 into the box on the right, placing them in the selected order of performance. Use all steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1370"]

Explanation

A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor?

Correct Answer is A

Explanation

A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?

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