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.

Answer and Explanation

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

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

Explanation

Vancomycin is nephrotoxic and ototoxic and any ear fullness and rising serum creatinine levels should be reported. It also has a narrow therapeutic levels of 10-20mcg/ml and levels above that should be reported. The drug should be administered over 60 mins to prevent red man syndrome

A- Being nephrotoxic, restricting fluid intake could increase risk of renal damage

A. Transfuse the blood product within 5 hr after removing it from refrigeration. B. Check the expiration date of the blood product with a second nurse. C. Prime the blood tubing with dextrose 5% in water. D. Check vital signs before transfusion. E. E. Insert an IV with a 19-gauge needle.

Correct Answer is ["B","D"]

Explanation

A second person is important to check expiry date to avoid transfusion of expired product. Vital signs are also important as a baseline of client’s condition
A. Blood products have different time frames depending on the protocol
C. Priming should be done with normal saline
E. The needle gauge depending on client’s veins caliber

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering intravenous vancomycin to a client who has had gastrointestinal surgery. Which nursing measures are appropriate? (Select all that apply.)

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

Explanation

A nurse is planning to perform a blood transfusion for a client. Which of the following actions should the nurse plan to take? (Select all that apply.)

Correct Answer is ["B","D"]

Explanation

Phenytoin has a narrow therapeutic index. The nurse recognizes that this characteristic indicates which of these?

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A nurse is preparing to administer a rectal suppository to a client. In which of the following positions should the nurse place the client for insertion of the suppository?

Which problem may occur in a client who has started aminoglycoside therapy?

A client has been taking lithium for 1 year, and the most recent lithium level is 0.9 rnEq/L. Which statement about the laboratory result is correct?

A client who has received chemotherapy has a critically low platelet count. The nurse expects which drug or drug class to be used to stimulate platelet cell production?

A client with oliguria has an order for 1000 mL of 0.9% NS over 3 hours. The tubing drop factor is 10 gtt/mL. How many gtt/min should be given? (Round to the nearest whole number. use a leading zero if it applies. Do not use a trailing zero.)

A client is in the urgent care center after experiencing a black widow spider bite. The nurse prepares to give which product to treat this injury?