You are providing education to newly diagnosed asthma client on metered-dose inhaler use. Which statement by the client would indicate the need for additional education?

I will wash the inhaler once a week with running warm water."

I will administer the second puff 1 minute following the first puff."

I will rinse my mouth with water mouthwash after inhaler use

I will take slow deep breath while activating the inhaler."

Answer and Explanation

The Correct Answer is D

A) "I will wash the inhaler once a week with running warm water.": This statement is accurate. It is important to wash the inhaler, especially the mouthpiece, at least once a week to prevent the build-up of medication residue and ensure proper function. The recommendation of using warm water is appropriate, and washing weekly is commonly advised by healthcare providers.

B) "I will administer the second puff 1 minute following the first puff.": This is correct. When using a metered-dose inhaler, it is recommended to wait about 1 minute between puffs to allow the medication to be inhaled properly and for the first dose to be fully delivered before administering the second dose. This ensures that each dose is effective.

C) "I will rinse my mouth with water or mouthwash after inhaler use.": This is a correct statement, particularly for inhaled corticosteroids. Rinsing the mouth after using an inhaler helps prevent the development of oral thrush and other side effects such as irritation or infection. It’s also a good habit to remove any leftover medication from the mouth.

D) "I will take slow deep breaths while activating the inhaler.": This statement indicates the need for additional education. The correct technique involves inhaling slowly and deeply after activating the inhaler, not while activating it. If the client exhales forcefully while pressing the inhaler, they may not be able to inhale the medication effectively. It is crucial that the client activates the inhaler and then takes a slow, deep breath to ensure the medication is delivered properly into the lungs.

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Correct Answer is D

Explanation

A) Metoprolol XL: Metoprolol XL (extended-release) should not be crushed. Crushing extended-release formulations can result in the rapid release of the drug, leading to an overdose or adverse effects due to the immediate release of the full dose. The nurse should advise the client to swallow this medication whole.

B) Ibuprofen EC (enteric-coated): Enteric-coated medications should not be crushed. The enteric coating is designed to protect the stomach lining by preventing the medication from being released in the stomach. Crushing the tablet would destroy this protective mechanism and could irritate the stomach lining, leading to discomfort or ulceration.

C) Morphine ER (extended-release): Extended-release formulations of morphine should never be crushed. Crushing extended-release formulations can lead to a potentially fatal overdose because it releases the entire dose of medication at once. This can cause respiratory depression and other life-threatening effects.

D) Acetaminophen: Acetaminophen in its regular tablet form can be safely crushed if needed. Crushing acetaminophen does not affect its effectiveness or safety, and it is a non-extended-release formulation, making it safe for manipulation when necessary, such as for clients with difficulty swallowing. However, it's essential to verify with the specific prescription, as acetaminophen is also available in extended-release formulations, which should not be crushed.

A. The nurse demonstrates to the client how to perform a blood glucose test using the glucometer. B. The nurse formulates a goal of "The client will have a blood sugar between 120-180 for the entire shift C. The nurse administers the ordered subcutaneous injection of insulin to the client. D. The nurse uses a glucometer to check the client's blood glucose level via a finger stick.

Correct Answer is B

Explanation

This action reflects the planning phase of the nursing process, where the nurse sets measurable and achievable goals based on the client's assessment data.

Here’s how the other options fall into different phases:

A. Demonstrating how to perform a blood glucose test = Implementation (teaching/intervention).

C. Administering insulin = Implementation (carrying out an intervention).

D. Checking blood glucose level = Assessment (gathering data).

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You are providing education to newly diagnosed asthma client on metered-dose inhaler use. Which statement by the client would indicate the need for additional education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which prescribed medication can the nurse instruct the client to crush if needed?

Correct Answer is D

Explanation

A nurse assesses the client and determines the client is at risk for unstable blood glucose. Which activity best reflects the planning phase of the nursing process?

Correct Answer is B

Explanation

The prescription reads for diphenhydramine 10 mg PO every 4-6 hours as needed for runny nose and allergy symptoms. Using the label below, how many mL will the nurse teach the parent to administer? Enter a numeric value only. Answer to the nearest whole mL

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A client is to receive a penicillin intramuscular (IM) injection in the ventrogluteal site. What is the correct angle that the nurse should use for the needle insertion?

You are providing education to newly diagnosed asthma client on metered-dose inhaler use. Which statement by the client would indicate the need for additional education?

A nurse recognizes they administered a medication over one hour when the order dictated the medication be given over 90 minutes. Which should be the first action performed by the nurse?