The client who has emphysema and recently experienced a stroke receives a prescription for a metered-dose inhaler with a spacer device. The client asks the nurse if using the spacer is necessary. Which information should the nurse provide?

It allows time to inhale the entire dispensed dose.

It prevents mouth infections when an inhaler is used.

It allows the medication to slowly enter the lungs.

It increases the effectiveness of the medication.

Answer and Explanation

The Correct Answer is A

Choice A reason: Using a spacer allows time for the client to inhale the entire dispensed dose, ensuring that the medication is delivered effectively to the lungs.

Choice B reason: While a spacer may reduce the risk of oral thrush, it is not specifically intended to prevent mouth infections.

Choice C reason: A spacer does not slow the entry of medication into the lungs; it helps to deliver the medication more effectively.

Choice D reason: While using a spacer can increase the effectiveness of the medication, the primary reason is that it allows the client to inhale the entire dose properly.

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

Explanation

Choice A reason: Keeping the room brightly lit while providing care may help with orientation but is not a specific instruction related to stroke care.

Choice B reason: Minimizing verbal interaction with the client is not advisable. Communication is essential in assessing the client's neurological status.

Choice C reason: Monitoring for change in speech is important as speech difficulties can indicate a worsening of the stroke or other neurological issues.

Choice D reason: Avoiding dropping side rails or abruptly closing the door helps minimize unnecessary stimulation and agitation, which can be beneficial for a client experiencing a stroke.

Choice E reason: Reporting any change in level of consciousness is critical as it can indicate changes in the client's condition that require immediate medical attention.

A. Washing for a total of 20 seconds. B. Lathering using a circular movement. C. Turning the water off using bare hands. D. Holding hands below elbows when rinsing.

Correct Answer is C

Explanation

Choice A reason: Washing for a total of 20 seconds is correct and meets hand hygiene guidelines.

Choice B reason: Lathering using a circular movement is an appropriate technique for thorough handwashing.

Choice C reason: Turning the water off using bare hands can lead to recontamination of the hands. The UAP should use a paper towel to turn off the faucet.

Choice D reason: Holding hands below elbows when rinsing is correct to allow water to run off the hands and prevent contamination.

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The client who has emphysema and recently experienced a stroke receives a prescription for a metered-dose inhaler with a spacer device. The client asks the nurse if using the spacer is necessary. Which information should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted during the acute phase of a stroke. The nurse observes that the client is restless and unable to follow instructions. Which instruction(s) should the nurse provide the unlicensed assistive personnel (UAP) who is assisting with the care of the client? Select all that apply.

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

Explanation

The nurse observes an unlicensed assistive personal (UAP) washing hands prior to entering the client's room. Which action by the UAP requires additional teaching?

Correct Answer is C

Explanation

A client with hemorrhoids asks for information about a high fiber diet. Which breakfast menu item(s) should the nurse suggest? Select all that apply.

The client who has emphysema and recently experienced a stroke receives a prescription for a metered-dose inhaler with a spacer device. The client asks the nurse if using the spacer is necessary. Which information should the nurse provide?

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