The nurse explains to the client the different ways to administer inhalation medications. Which administration technique should be included in the teaching session?(Select All that Apply.)

Metered-dose inhaler

Nebulizer

Hypodermic syringe

Feeding tube syringe

Dry powder inhaler

Answer and Explanation

Correct Answer : A,B,E

A. Metered-dose inhaler (MDI): MDIs deliver a specific dose of medication in aerosol form. They consist of a pressurized canister containing medication and a mouthpiece or mask for inhalation. Patients must coordinate inhalation with actuation to ensure proper medication delivery to the lungs.

B. Nebulizer: Nebulizers convert liquid medication into a fine mist that can be inhaled directly into the lungs. They are commonly used for patients who have difficulty using MDIs or require higher doses of medication. Nebulizers are often used in acute care settings or at home for patients with chronic respiratory conditions.

C. Hypodermic syringe: Hypodermic syringes are used for administering injections subcutaneously, intramuscularly, or intravenously. They are not used for inhalation medication administration.

D. Feeding tube syringe: Feeding tube syringes are used for administering liquid medications or enteral feeds through feeding tubes directly into the gastrointestinal tract. They are not used for inhalation medication administration.

E. Dry powder inhaler (DPI): DPIs deliver medication in powdered form, which is activated by the patient's inhalation. Unlike MDIs, DPIs do not require coordination between actuation and inhalation. Instead, patients inhale forcefully to disperse the medication into their lungs.

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Correct Answer is C

Explanation

A) Treatment with PPIs to decrease stomach acid:
Pancreatic insufficiency is not primarily related to excess stomach acid production, so treatment with proton pump inhibitors (PPIs) to decrease stomach acid would not address the underlying cause of the condition.

B) Treatment with stimulant laxatives:
Pancreatic insufficiency is not typically associated with constipation or the need for stimulant laxatives. While malabsorption of fats due to pancreatic insufficiency can lead to loose stools or diarrhea, treatment with laxatives is not indicated for this condition.

C) Replacement therapy with pancreatic enzymes.
Pancreatic insufficiency is a condition where the pancreas does not produce enough digestive enzymes to properly digest food. Replacement therapy with pancreatic enzymes is the mainstay of treatment for pancreatic insufficiency. These pancreatic enzyme supplements help in the digestion and absorption of nutrients from food by compensating for the deficient enzymes produced by the pancreas. By taking pancreatic enzyme supplements with meals, the client can improve digestion and prevent malnutrition associated with pancreatic insufficiency.

D) Decrease food intake:
Decreasing food intake would not address the underlying cause of pancreatic insufficiency, which is the deficiency of pancreatic enzymes needed for proper digestion. In fact, decreasing food intake could exacerbate malnutrition and nutrient deficiencies in individuals with pancreatic insufficiency. The primary goal of treatment is to improve digestion and nutrient absorption by providing supplemental pancreatic enzymes with meals.

A. Montelukast B. Fluticasone C. Cromolyn D. Albuterol

Correct Answer is D

Explanation

A) Montelukast:
Montelukast is a leukotriene receptor antagonist used for the long-term control and prevention of asthma symptoms, but it is not typically used as a rescue medication to abort an ongoing asthma attack. Its onset of action is slower compared to short-acting beta agonists like albuterol.

B) Fluticasone:
Fluticasone is an inhaled corticosteroid medication used for the long-term control and management of asthma symptoms by reducing airway inflammation and preventing asthma exacerbations. It is not used as a rescue medication to abort an ongoing asthma attack but rather as a controller medication to prevent symptoms when used regularly over time.

C) Cromolyn:
Cromolyn is a mast cell stabilizer medication that is used for the prevention of asthma symptoms and exercise-induced bronchospasm. It is not typically used as a rescue medication to abort an ongoing asthma attack but rather as a controller medication to prevent symptoms when used regularly over time.

D) Albuterol.
Albuterol is a short-acting beta agonist bronchodilator commonly used as a rescue or reliever medication for acute asthma symptoms or to abort an ongoing asthma attack. It works quickly to relax the smooth muscles of the airways, leading to rapid bronchodilation and relief of symptoms such as wheezing, shortness of breath, and chest tightness. Albuterol is considered a first-line medication for relieving acute asthma symptoms and should be used as directed by a healthcare provider during an asthma exacerbation.

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The nurse explains to the client the different ways to administer inhalation medications. Which administration technique should be included in the teaching session?(Select All that Apply.)

Nursing Test Bank

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Explanation

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Correct Answer is D

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The nurse explains to the client the different ways to administer inhalation medications. Which administration technique should be included in the teach session? (Select All that Apply.)