When evaluating a client's use of a metered-dose inhaler (MDI), the nurse notes that the client is unable to coordinate the activation of the inhaler with her breathing. What intervention is most appropriate at this time?
Obtain an order for a spacer device.
Notify the prescriber that the client is unable to use the MDI.
Ask the prescriber if the medication can be given orally.
Obtain an order for a peak flow meter.
The Correct Answer is A
Rationale- A spacer connects the MDI and the mouth containing any medication exhaled eliminating the need for the coordination
B. Notifying the provider does not solve the client’s need
C. Inhalers are delivered directly into the airway and are not taken orally
D. A peak flow meter is used to measure peak flow but not for drug delivery

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. Extravasation can cause severe damage and necrosis and the infusion should, therefore, be stopped and the catheter left in situ for aspiration
A. Glucocorticoids are not indicated
B. The infusion must be stopped completely
D. Pressure application can lead to further damage.
Correct Answer is B
Explanation
B. diazepam is a benzodiazepine drug. Benzodiazepines are used in management of anxiety disorders such as panic attacks and generalized anxiety disorders. They are also as muscle relaxantss and anticonvulsants
A. Zolpidem- Hypnotic used in insomnia
C. Cyclobenzarpine is a muscle relaxant use for spasms
D. Phenobarbital- An anticonvulsant
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