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 C

Explanation

A. Limiting walking episodes may reduce discomfort but does not address the underlying issue or potential complications.

B. While leg cramps can be common during pregnancy, calf pain could also indicate a more serious condition, such as deep vein thrombosis (DVT), and should not be dismissed as normal without further investigation.

C. Gathering further assessment data is crucial to determine the cause of the calf pain, as it may indicate DVT, a potentially life-threatening condition. The nurse should assess for other symptoms like swelling, redness, or warmth in the leg.

D. Instructing the client to elevate the legs may be appropriate for general discomfort, but without proper assessment, it may not be the correct intervention if DVT is present.

A. Moist mucous membranes B. Bounding peripheral pulses C. Poor skin turgor D. Bradycardia

Correct Answer is C

Explanation

A. Moist mucous membranes would indicate adequate hydration, which is not typically seen in diabetes insipidus.

B. Bounding peripheral pulses are associated with conditions of fluid overload, not diabetes insipidus.

C. Poor skin turgor is a sign of dehydration, which is a common finding in diabetes insipidus due to excessive urine output leading to significant fluid loss.

D. Bradycardia is not typically associated with diabetes insipidus; tachycardia might be seen due to dehydration and hypovolemia.

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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

A prenatal client is experiencing calf pain when she walks. Which action is appropriate for the nurse to implement?

Correct Answer is C

Explanation

A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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