A client has a new prescription for a medication to be given via inhalation through a metered-dose inhaler (MDI). Which of the following education should the nurse include?
Wait at least 5 minutes between puffs if the client has different medications via inhalation.
Wait at least 10 minutes between puffs.
None of the above.
All of the above.
The Correct Answer is A
Choice A rationale
Waiting at least 5 minutes between puffs allows the first dose to take effect, optimizing absorption and reducing side effects when different inhaled medications are used.
Choice B rationale
Waiting 10 minutes between puffs is unnecessary and might reduce adherence to treatment due to the prolonged interval.
Choice C rationale
"None of the above" does not provide a valid education point for using metered-dose inhalers.
Choice D rationale
"All of the above" is incorrect as it includes a recommendation that is not necessary (waiting 10 minutes). .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
Choice A rationale
Furosemide is a loop diuretic that inhibits the sodium-potassium-chloride co-transporter in the thick ascending limb of the loop of Henle. This results in significant loss of potassium in the urine.
Choice B rationale
NaoxGhe is not a recognized diuretic or medication and should not be included in any in-service discussion.
Choice C rationale
Spironolactone is a potassium-sparing diuretic that works by antagonizing the effects of aldosterone in the distal tubules, reducing potassium excretion.
Choice D rationale
"None of the above" is not a medication but rather a non-relevant option in this context.
Correct Answer is []
Explanation
Condition: Post-operative pain.
2 actions:
Administer acetaminophen (Tylenol) for mild pain,
Apply a warm compress to the surgical site.
2 parameters:
Pain level on a 0-10 scale,
Surgical site appearance.
Rationale for correct condition: Post-operative pain is expected after surgery and the client reports mild pain (2 out of 10). Managing pain is crucial for recovery and mobility. Mild pain indicates the need for non-opioid analgesics. Pain management enhances comfort and healing. Addressing pain prevents complications.
Rationale for actions: Administering acetaminophen targets mild pain effectively. It is appropriate for the reported pain level. Warm compresses can soothe soreness and reduce pain without medication. Encourages blood flow and healing. Encouraging ambulation prevents DVT but is not pain-focused. Monitoring for infection is important but not the priority for mild pain. Ondansetron treats nausea, not pain.
Rationale for parameters: Pain level on a 0-10 scale assesses pain management effectiveness. Monitoring pain ensures appropriate interventions. Surgical site appearance checks for complications affecting pain, like infection. Respiratory rate is stable and less relevant. Oxygen saturation is normal, unrelated to pain. Urine output monitors hydration, not pain.
Rationale for incorrect conditions: Post-operative nausea and vomiting is not reported. Surgical site infection would show signs like redness or fever. DVT focuses on circulation, not pain.
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