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 B

Explanation

A. Popping sounds, also known as crackles, are typically associated with fluid in the alveoli, often seen in conditions like pneumonia or heart failure, not pleurisy.

B. Loud, grating sounds, known as pleural friction rub, are characteristic of pleurisy. This sound is produced by the inflamed pleural surfaces rubbing together during respiration.

C. Snoring sounds, or rhonchi, are usually heard in conditions involving airway obstruction by mucus, such as bronchitis, rather than pleurisy.

D. Squeaky, musical sounds, or wheezing, are associated with airway narrowing, such as in asthma or chronic obstructive pulmonary disease (COPD), and are not typically heard in pleurisy.

A. Reduce cholesterol and saturated fat intake. B. Sustain hyperglycemia to reduce deterioration of nerve cells. C. Maintain optimal blood pressure to prevent kidney damage. D. Increase physical activity and daily exercise. E. Enroll in a smoking cessation program.

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

Explanation

A. Reducing cholesterol and saturated fat intake is important for managing cardiovascular health, which is crucial for clients with diabetes to prevent complications such as heart disease and stroke.

B. Sustaining hyperglycemia is incorrect; it actually contributes to complications like neuropathy, retinopathy, and nephropathy. The goal is to maintain blood glucose levels within the target range.

C. Maintaining optimal blood pressure is essential in preventing diabetic nephropathy, as high blood pressure can damage the kidneys and worsen diabetic kidney disease.

D. Increasing physical activity helps improve insulin sensitivity, control blood glucose levels, and reduce the risk of complications associated with diabetes.

E. Smoking cessation is critical in reducing the risk of cardiovascular disease, which is higher in clients with diabetes. Smoking can exacerbate the complications of diabetes.

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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 nurse is auscultating the lungs of a client who has pleurisy. Which of the following adventitious breath sounds should the nurse expect to hear?

Correct Answer is B

Explanation

A nurse is preparing a teaching session about reducing the risk of complications of diabetes mellitus. Which of the following information should the nurse plan to include in the teaching? (Select all that apply.)

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

Explanation

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