A nurse is collecting data from a female client who reports she wants to begin taking oral contraceptives. Which of the following findings is a contraindication for this client?

The correct answer is C. "Close your mouth around the mouthpiece." The rationale for this instruction is that it ensures that the medication reaches the lungs and does not escape through the mouth or nose. Albuterol is a bronchodilator that relaxes muscles in the airways and increases airflow to the lungs. It is used to treat or prevent bronchospasm, or narrowing of the airways, in people with asthma or certain types of chronic obstructive pulmonary disease (COPD). It is also used to prevent exercise-induced bronchospasm. Albuterol is delivered through a metered dose inhaler (MDI), which is a device that releases a measured amount of medication with each puff. To use an albuterol MDI correctly, the client should follow these steps :

• Shake the inhaler well before each spray.
• Remove the cap and look at the mouthpiece to make sure it is clean.
• Breathe out fully.
• Put the mouthpiece between your lips and close your mouth around it.
• Press down on the inhaler to release the medication as you start to breathe in slowly.
• Breathe in slowly and deeply over 3 to 5 seconds.
• Hold your breath for 10 seconds to allow the medication to reach your airways.
• Breathe out slowly.
• If you need another puff, wait 1 minute and repeat steps 4 to 8.

The correct answer is D.

Flex his hips while pulling the client. The nurse and AP should use proper body mechanics when repositioning a client to prevent injury and promote comfort. Flexing the hips while pulling the client reduces strain on the back muscles and allows for greater leverage.

The nurse and AP should raise the bed to a comfortable working height, not lower it to the lowest position. The nurse and AP should stand on opposite sides of the bed near the client's hips, not shoulders. The nurse and AP should remove any pillows under or around the client before repositioning him.