A client is prescribed a metered-dose inhaler (MDI) and a dry powder inhaler (DPI). The client asks the nurse about the difference between the two types of inhalers. Which of the following responses by the nurse is correct?
"MDIs require you to coordinate your breathing with inhalation, while DPIs do not."
"MDIs contain a propellant that helps deliver the medication into your lungs."
"DPIs deliver the medication in a mist form, which is easier to inhale."
"DPIs require you to use a spacer device for proper inhalation."
The Correct Answer is A
A) Correct. Metered-dose inhalers (MDIs) require the client to coordinate their breathing with inhalation. They release a measured dose of medication in aerosol form, and the client needs to inhale deeply at the same time to ensure the medication reaches the lungs. Dry powder inhalers (DPIs), on the other hand, do not require coordination of breathing and inhalation. The client simply needs to inhale forcefully to activate the powder dispersion.
B) Incorrect. MDIs contain a propellant that helps atomize the medication and facilitate its delivery into the lungs, but this is not the main difference between MDIs and DPIs.
C) Incorrect. DPIs deliver the medication in powder form, not mist form.
D) Incorrect. DPIs do not require the use of a spacer device, unlike MDIs, which can benefit from a spacer device to improve medication delivery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C) Correct. Leukotriene receptor antagonists are not intended for immediate relief during an asthma attack. They are long-term control medications used to manage and prevent asthma symptoms. Clients should have a separate rescue inhaler for acute symptom relief.
A) Incorrect. Taking the medication on an empty stomach may enhance its absorption, although it can be taken with or without food.
B) Incorrect. Leukotriene receptor antagonists have been associated with mood changes, including depression and suicidal ideation. Therefore, it is important to notify the healthcare provider if any mood changes occur.
D) Incorrect. The client should continue using their other asthma medications as prescribed, as leukotriene receptor antagonists are often used as an adjunct therapy for asthma management.
Correct Answer is A
Explanation
A) Correct. Monitoring blood glucose levels is crucial when caring for a client receiving oral corticosteroid therapy. Corticosteroids can increase blood glucose levels and may cause or worsen diabetes mellitus or steroid-induced hyperglycemia. The nurse should monitor the client's blood glucose levels regularly and collaborate with the healthcare team to manage any glucose abnormalities.
B) Incorrect. Oxygen saturation monitoring is important but is not the priority assessment specifically related to oral corticosteroid therapy.
C) Incorrect. Urinary output monitoring is not specifically required for oral corticosteroid therapy and does not require prioritization in this case.
D) Incorrect. Liver function tests are not directly related to oral corticosteroid therapy and do not require prioritization in this scenario.
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