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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["4"]
Explanation
To administer the correct dose of furosemide, which is 40 mg intravenously, the nurse needs to calculate the volume of furosemide solution to use. Given that the available concentration is 10 mg per 1 mL, the nurse would need 4 mL of the solution to provide the 40 mg dose. This is because the dosage required (40 mg) divided by the concentration of the solution (10 mg/mL) equals the volume to administer: 40/10= 4 mL
Correct Answer is A
Explanation
A. A rapid weight gain, such as a 5 lb increase in one day, is a strong indicator of fluid overload, particularly in clients with end-stage kidney disease. This excess fluid retention can lead to complications like pulmonary edema and congestive heart failure.
B. An oxygen saturation of 93% is slightly low but not a direct indicator of fluid overload; it may be related to other factors like anemia or underlying lung disease.
C. Normal skin turgor, where the skin returns to its previous position after being pinched, does not indicate fluid overload. In fluid overload, you might see pitting edema, where the skin does not return immediately.
D. Flattened neck veins would suggest a lack of fluid, not an overload. In fluid overload, you would expect to see distended neck veins (jugular venous distension).
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