A client newly diagnosed with asthma is being given discharge instructions. The nurse works collaboratively with the client, instructing the client to use a metered dose inhaler (MDI). What is the first priority and last priority step in the procedure?

Hold breath for 5 seconds and exhale / shake inhaler.

Place mouthpiece in mouth / exhale slowly and completely.

Press and hold the canister down while inhaling deeply and slowly / exhale slowly and completely.

Remove cap from inhaler and shake inhaler / rinse your mouth, gargle, spit out.

Answer and Explanation

The Correct Answer is D

Choice A reason:

Holding your breath for 5 seconds and exhaling is not the first step in using an MDI. Shaking the inhaler is necessary to ensure the medication is properly mixed, but it should be done after removing the cap.

Choice B reason:

Placing the mouthpiece in the mouth and exhaling slowly and completely is an important step, but it is not the first priority. Exhaling fully before inhaling the medication helps ensure that the medication reaches deep into the lungs.

Choice C reason:

Pressing and holding the canister down while inhaling deeply and slowly is a crucial step in using an MDI, but it is not the first step. This action releases the medication into the lungs.

Choice D reason:

Removing the cap from the inhaler and shaking it is the first priority step. This ensures the medication is ready for use. Rinsing your mouth, gargling, and spitting out after using the inhaler is the last priority step to prevent oral thrush and other side effects.

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Correct Answer is B

Explanation

Choice A reason:

Fever and bradypnea are not typical manifestations of asthma. Fever is more commonly associated with infections, and bradypnea (abnormally slow breathing) is not a characteristic symptom of asthma.

Choice B reason:

Dyspnea (shortness of breath) and wheezing are hallmark symptoms of asthma. Asthma is characterized by inflammation and narrowing of the airways, which leads to difficulty breathing and a whistling sound (wheezing) when exhaling. These symptoms are often triggered by allergens, exercise, or respiratory infections.

Choice C reason:

Crackles and a productive cough are more indicative of conditions like pneumonia or chronic bronchitis rather than asthma. Asthma typically involves a dry cough rather than a productive one.

Choice D reason:

A normal chest shape and orthopnea (difficulty breathing when lying flat) are not specific to asthma. While some individuals with severe asthma may develop a barrel chest over time due to chronic overinflation of the lungs, this is not a typical early manifestation.

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 newly diagnosed with asthma is being given discharge instructions. The nurse works collaboratively with the client, instructing the client to use a metered dose inhaler (MDI). What is the first priority and last priority step in the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is completing an admission assessment on a client diagnosed with asthma. What clinical manifestations are typical of the disorder?

Correct Answer is B

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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