A nurse is preparing to administer a metered dose inhaler (MDI) medication to a client. Which of the following actions should the nurse take?

Ask the client to inhale the medication quickly for 1 second.

Ask the client to hold their breath for 2 seconds after inhalation.

Shake the MDI prior to administration.

Wash the MDI canister in warm water after each use.

Answer and Explanation

The Correct Answer is C

A) Ask the client to inhale the medication quickly for 1 second:
The client should inhale the medication slowly and deeply, not quickly. A rapid inhalation can reduce the effectiveness of the medication as it may not reach the deeper parts of the lungs effectively.

B) Ask the client to hold their breath for 2 seconds after inhalation:
The client should hold their breath for about 10 seconds after inhalation to allow the medication to settle in the lungs and be absorbed. Holding the breath for just 2 seconds is typically insufficient for optimal medication delivery.

C) Shake the MDI prior to administration:
Shaking the MDI before use is important to ensure that the medication is properly mixed and delivered in the correct dose. Failure to shake the MDI can result in an uneven distribution of medication.

D) Wash the MDI canister in warm water after each use:
The MDI canister should not be washed frequently, as this can affect the device's function and lead to potential contamination. The canister should be cleaned as per the manufacturer’s instructions, typically every few days or as needed.

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Correct Answer is B

Explanation

A) Withholding the medication if the heart rate is above 100/min:
Digoxin is typically withheld if the heart rate is below 60 beats per minute (bradycardia) rather than above 100 beats per minute. In fact, a heart rate above 100/min may indicate tachycardia, which is not necessarily a contraindication for administering digoxin.

B) Evaluating the client for nausea, vomiting, and anorexia:
These symptoms are signs of digoxin toxicity. Evaluating for these symptoms is crucial as part of monitoring for adverse effects. Clients experiencing these symptoms may need their digoxin levels checked and potentially adjusted.

C) Instructing the client to eat foods that are low in potassium:
Digoxin therapy requires adequate potassium levels for effectiveness. Clients should be encouraged to consume foods high in potassium to prevent hypokalemia, which can increase the risk of digoxin toxicity.

D) Measuring apical pulse rate for 30 seconds before administration:
The apical pulse should be measured for a full minute to accurately assess the heart rate before administering digoxin. A shorter measurement may not provide a reliable assessment of the heart rate.

A. Mix the medication at the client's bedside. B. Document that the medication was administered. C. Determine the client's response to the medication. D. Check the client for allergies. E. Full screen mode is in effect during your proctored testing.

Correct Answer is D

Explanation

A) Mix the medication at the client's bedside:
Mixing the medication at the client's bedside is a necessary step in the medication administration process but should be done after ensuring that all safety checks, including allergy checks, have been completed.

B) Document that the medication was administered:
Documentation of medication administration is an important step, but it should only occur after all other steps, including verifying the client's allergies and preparing the medication, have been completed.

C) Determine the client's response to the medication:
Determining the client's response to the medication should be done after administration, not before or during the preparation. This step involves assessing the effectiveness and any adverse effects following medication administration.

D) Check the client for allergies:
Checking the client for allergies is the first and most critical step to prevent potential allergic reactions or adverse effects. It ensures that the medication is safe for the client and prevents harm.

E) Full-screen mode is in effect during your proctored testing:
This statement is not related to the process of administering a medication and does not pertain to the actions required for medication administration.

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A nurse is preparing to administer a metered dose inhaler (MDI) medication to a client. Which of the following actions should the nurse take?

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