43. A nurse is reinforcing teaching about use of a metered-dose inhaler (MDI) with a client who has a new diagnosis of asthma. Identify the sequence the client should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all steps.)

Shake the canister 3 to 5 seconds vigorously.

Place her lips firmly around the mouthpiece.

Inhale slowly over 3 to 5 seconds while pushing down on the canister.

Hold her breath for 10 seconds.

Exhale slowly through pursed lips.

Answer and Explanation

The Correct Answer is A, B, C, D, E

A.   Shake the canister 3 to 5 seconds vigorously.
Before each use, it's important to shake the MDI to ensure proper mixing of the medication.
B.   Place her lips firmly around the mouthpiece.
Creating a tight seal around the mouthpiece ensures that the medication is delivered directly into the airways.
C.   Inhale slowly over 3 to 5 seconds while pushing down on the canister.
While pressing down on the canister, the client should inhale slowly to allow the medication to reach the lungs.
D.   Hold her breath for 10 seconds.
After inhaling the medication, holding the breath for 10 seconds allows for better absorption of the medication into the lungs.
E.   Exhale slowly through pursed lips.
After holding the breath, exhaling slowly through pursed lips helps to fully exhale and ensures that the medication remains in the airways.

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Correct Answer is A

Explanation

A. Sucralfate works by forming a protective barrier over the ulcer site. It adheres to the ulcer, shielding it from the harmful effects of gastric acid, pepsin, and bile salts. This protection allows the ulcer to heal by preventing further irritation and damage.
B. Medications that prevent gastric acid secretion are typically proton pump inhibitors (PPIs) or H2 receptor antagonists. Sucralfate does not reduce or inhibit the production of gastric acid; instead, it protects the ulcer from the acid already present.
C. Antacids are the type of medication that neutralize gastric acid. Sucralfate does not neutralize acid; it acts locally at the ulcer site to create a protective coating.
D. Antibiotics are used to kill Helicobacter pylori, the bacteria often responsible for causing peptic ulcers. Sucralfate does not have antibacterial properties and does not target or eliminate bacteria.

A. "I will hold my breath at least 10 seconds after inhaling the medication." B. "I will wait 10 min between each inhalation." C. "I will hold the inhaler with my non-dominant hand." D. "I will tilt my head forward while inhaling the medication."

Correct Answer is A

Explanation

A. Holding the breath for at least 10 seconds after inhaling the medication allows the medication to settle in the lungs and increases its effectiveness. This ensures maximum delivery of the drug to the respiratory tract.
B. The recommended time to wait between inhalations is typically around 1 to 2 minutes, not 10 minutes. Waiting too long between puffs may reduce the effectiveness of the medication and is not necessary.
C. There is no specific recommendation that the inhaler must be held with the non-dominant hand. The inhaler should be held in the hand that feels most comfortable and provides the best control, which is usually the dominant hand for most people.
D. The correct technique involves tilting the head slightly back to open the airway, making it easier for the medication to reach the lungs. Tilting the head forward could restrict the airflow and reduce the effectiveness of the inhalation.

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43. A nurse is reinforcing teaching about use of a metered-dose inhaler (MDI) with a client who has a new diagnosis of asthma. Identify the sequence the client should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching for a client who has a duodenal ulcer and a new prescription for sucralfate. The client asks the nurse how sucralfate works. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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