What is the best method for the nurse to ensure that the patient is correctly using an inhaler?
Repeating instructions
Assessing lung sounds
Return demonstration
Answering questions
The Correct Answer is C
A. Repeating instructions: Repeating instructions can reinforce learning but does not guarantee that the patient has correctly understood or can apply the instructions. It does not provide an opportunity for the nurse to observe and correct errors.
B. Assessing lung sounds: Assessing lung sounds helps evaluate the effectiveness of the inhaled medication but does not verify whether the patient is using the inhaler correctly.
C. Return demonstration: A return demonstration involves the patient showing the nurse how they use the inhaler. This allows the nurse to observe the technique and provide immediate feedback and correction, ensuring proper use.
D. Answering questions: Answering questions can clarify doubts and enhance understanding, but it does not confirm that the patient is correctly using the inhaler.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. 18-month-old who has had watery stools for 3 days: Young children have a higher risk of dehydration and electrolyte imbalances due to their smaller body fluid reserves. Prolonged diarrhea can cause significant fluid and electrolyte loss, leading to potential acid-base imbalances.
B. A client who has a gastrostomy tube: While a gastrostomy tube can present risks for infection and nutritional imbalances, it is typically managed to ensure adequate nutrition and fluid intake, making electrolyte imbalances less likely unless complications arise.
C. 70-year-old with constipation: Constipation alone is less likely to cause significant fluid and electrolyte disturbances compared to prolonged diarrhea, although chronic constipation can lead to other complications such as fecal impaction.
D. 27-year-old with a 24-hour history of nausea and vomiting: A short-term episode of nausea and vomiting can lead to temporary fluid and electrolyte imbalances, but it is less severe compared to several days of diarrhea, particularly in a young child.
Correct Answer is A
Explanation
A. Replacement therapy with pancreatic enzymes: Pancreatic insufficiency results in a lack of digestive enzymes, leading to malabsorption of nutrients. Enzyme replacement therapy is essential to aid in digestion and nutrient absorption.
B. Treatment with stimulant laxatives: Stimulant laxatives are used to treat constipation by increasing bowel motility. They do not address the underlying enzyme deficiency in pancreatic insufficiency and can potentially cause further nutrient loss.
C. Treatment with PPIs to decrease stomach acid: Proton pump inhibitors (PPIs) reduce stomach acid production and are used for conditions like GERD. They do not address the enzyme deficiency caused by pancreatic insufficiency.
D. Decrease food intake: Reducing food intake does not treat pancreatic insufficiency and can lead to malnutrition. The goal is to support normal digestion and nutrient absorption through enzyme replacement.
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