The nurse is teaching a client how to use an inhaler device. Which client statement indicates to the nurse that the client understands the instructions?

The inhaler will be used before bed each night.

Rinsing the mouth with water should be done after each use.

Caffeinated beverages should be limited to two cups per day.

To mask taste of the medication, inhaler can be used during meals.

Answer and Explanation

The Correct Answer is B

A. The inhaler will be used before bed each night:
The timing of inhaler use depends on the type of medication (e.g., rescue vs. maintenance) and individual needs, not a fixed schedule like before bed. Proper use instructions usually specify whether it’s for acute symptoms or regular daily use.

B. Rinsing the mouth with water should be done after each use:
This is an important practice for inhaled corticosteroids to help prevent oral thrush and minimize side effects. It ensures that any residual medication is removed from the mouth.

C. Caffeinated beverages should be limited to two cups per day:
While caffeine may have interactions with certain medications, it is not specifically related to the use of inhalers. Therefore, this statement is less relevant to the immediate use of the inhaler.

D. To mask the taste of the medication, inhaler can be used during meals:
Using an inhaler during meals is not advised. It is important to use the inhaler as directed, typically separate from meals, to ensure proper inhalation and effectiveness of the medication.

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Correct Answer is B

Explanation

A. Undergo annual eye examinations:
While eye examinations are important for monitoring certain conditions, they are not specifically required for clients taking methotrexate or adalimumab.

B. Avoid crowds and people who are sick:
Both methotrexate and adalimumab can suppress the immune system, increasing the risk of infections. Therefore, avoiding crowds and people who are sick is a crucial precaution to reduce the risk of infection.

C. Have a chest x-ray prior to your first dose:
A chest x-ray is not typically required for the initiation of adalimumab. However, screening for tuberculosis with a tuberculin skin test or other methods might be necessary due to the risk of reactivation.

D. Obtain routine vaccinations as scheduled:
Clients on methotrexate or adalimumab should consult their healthcare provider before receiving any vaccinations, as live vaccines are usually contraindicated in immunosuppressed individuals. Routine vaccinations may need to be reviewed and adjusted accordingly.

A. Determine Glasgow Coma Scale score. B. Prepare to assist with chest tube insertion. C. Initiate cardiopulmonary resuscitation (CPR). D. Administer a second dose of naloxone.

Correct Answer is D

Explanation

A) Determine Glasgow Coma Scale score: While assessing the Glasgow Coma Scale (GCS) score is important for evaluating the level of consciousness and neurological status, it does not address the immediate life-threatening issue of severe respiratory depression and hypoxia. The client's critical respiratory status and low oxygen saturation require more urgent intervention.

B) Prepare to assist with chest tube insertion: Preparing for chest tube insertion is not appropriate in this scenario, as the client's symptoms are related to severe respiratory depression rather than a condition that would require chest drainage. Chest tube insertion is indicated for conditions such as pneumothorax or pleural effusion, not for opioid overdose.

C) Initiate cardiopulmonary resuscitation (CPR): CPR would be necessary if the client were in cardiac arrest or if there were no pulse and respiratory effort. However, the immediate issue appears to be severe respiratory depression rather than cardiac arrest, so administering a second dose of naloxone is a more appropriate and immediate action to address the cause of the client's condition.

D) Administer a second dose of naloxone: Given the client’s severe respiratory depression and low oxygen saturation despite the initial dose of naloxone, it is crucial to administer a second dose. Naloxone is used to reverse opioid overdose effects, and its administration should be repeated if symptoms persist, ensuring the client’s safety and potentially reversing the opioid’s effects on the respiratory system.

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The nurse is teaching a client how to use an inhaler device. Which client statement indicates to the nurse that the client understands the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and receives a prescription for adalimumab. Which instructions should the nurse provide the client?

Correct Answer is B

Explanation

The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement?

Correct Answer is D

Explanation

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