A client is diagnosed with asthma. The therapeutic regimen using metered dose inhalers includes albuterol 2 puffs and beclomethasone 2 puffs. The nursing plan of care must include teaching regarding:

Effective coughing after medication administration.

Rinsing the mouth after beclomethasone administration.

Using beclomethasone as needed when breathing normally.

Taking the beclomethasone first, followed by the albuterol.

Answer and Explanation

The Correct Answer is B

Choice A reason: Effective coughing after medication administration is not specifically required for the use of metered dose inhalers like albuterol and beclomethasone. While coughing can help clear mucus from the airways, it is not a necessary step in the administration of these medications. The primary focus should be on proper inhaler technique to ensure the medication reaches the lungs effectively.

Choice B reason: Rinsing the mouth after beclomethasone administration is crucial. Beclomethasone is an inhaled corticosteroid, and rinsing the mouth helps prevent oral thrush, a common side effect of inhaled steroids. Thrush is a fungal infection that can develop in the mouth and throat due to the residue of the medication. Proper rinsing and spitting out the water can significantly reduce the risk of this infection.

Choice C reason: Using beclomethasone as needed when breathing normally is incorrect. Beclomethasone is a maintenance medication that should be used regularly as prescribed, not on an as-needed basis. It helps control chronic inflammation in the airways and prevent asthma symptoms. Using it only when symptoms are not present would not provide the consistent anti-inflammatory effect needed to manage asthma effectively.

Choice D reason: Taking the beclomethasone first, followed by the albuterol, is incorrect. The correct sequence is to use the albuterol first. Albuterol is a bronchodilator that works quickly to open up the airways, making it easier for the beclomethasone to reach deeper into the lungs and be more effective

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Correct Answer is ["9.0"]

Explanation

Calculation and Answer

Step 1: Determine the total dose required per administration.

Dose required = 0.5 mg/kg × 90 kg
Dose required = 45 mg

Step 2: Determine the concentration of the drug.

Concentration = 25 mg per 5 mL

Step 3: Calculate the volume needed to administer the required dose.

Volume (mL) = Dose required ÷ Concentration
Volume (mL) = 45 mg ÷ (25 mg ÷ 5 mL)
Volume (mL) = 45 mg ÷ 5 mg/mL
Volume (mL) = 9 mL

The client will receive 9.0 mL per dose.

A. Avoid more time-outs in the OR. B. Understand the informed consent. C. Achieve better post-operative outcomes. D. Reinforce that collaborative care is essential.

Correct Answer is C

Explanation

Choice A reason: Avoiding more time-outs in the OR is not the primary purpose of pre-operative teaching. Time-outs are a safety protocol used in the operating room to ensure that the correct procedure is being performed on the correct patient. While pre-operative teaching can contribute to overall surgical safety, its main goal is not to reduce the number of time-outs.

Choice B reason: Understanding the informed consent is an important aspect of pre-operative teaching, but it is not the primary purpose. Informed consent ensures that the patient is aware of the risks, benefits, and alternatives to the procedure. Pre-operative teaching encompasses a broader range of information, including what to expect before, during, and after surgery.

Choice C reason: Achieving better post-operative outcomes is the primary purpose of pre-operative teaching. Educating patients about their surgery, recovery process, and self-care can significantly improve their post-operative outcomes. This includes reducing anxiety, pain, and complications, as well as shortening hospital stays and enhancing overall recovery. Pre-operative education empowers patients to take an active role in their recovery, leading to better health outcomes.

Choice D reason: Reinforcing that collaborative care is essential is a component of pre-operative teaching, but it is not the primary purpose. Collaborative care involves the coordination of various healthcare professionals to provide comprehensive care to the patient. While pre-operative teaching can highlight the importance of teamwork, its main focus is on preparing the patient for surgery and recovery.

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A client is diagnosed with asthma. The therapeutic regimen using metered dose inhalers includes albuterol 2 puffs and beclomethasone 2 puffs. The nursing plan of care must include teaching regarding:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["9.0"]

Explanation

The purpose of the nurse providing pre-operative teaching to clients undergoing surgery is to:

Correct Answer is C

Explanation

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