A nurse is preparing to teach a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?

The client holds his breath for 10 seconds after inhaling the medication

The client exhales as the medication is released from the inhaler

The client takes a quick inhalation while releasing the medication

The client waits 10 minutes between inhalations

Answer and Explanation

The Correct Answer is A

Choice A reason: Holding breath for 10 seconds after inhaling albuterol allows medication deposition in the lungs, maximizing bronchodilation. This demonstrates correct technique, ensuring effective asthma relief, making it the correct indicator of understanding.

Choice B reason: Exhaling during medication release expels the drug, reducing lung deposition and effectiveness. Proper technique involves inhaling during actuation, making this incorrect and indicative of poor inhaler use understanding.

Choice C reason: A quick inhalation during medication release is suboptimal, as slow, deep inhalation ensures better drug delivery. This rushed technique reduces efficacy, making it incorrect for demonstrating proper inhaler use.

Choice D reason: Waiting 10 minutes between inhalations is excessive; albuterol doses are typically 1–2 minutes apart. This indicates misunderstanding of dosing intervals, making it incorrect for proper inhaler technique.

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Correct Answer is D

Explanation

Choice A reason: Dismissing the patient’s feelings as a phase minimizes their experience, risking trust. Sexual orientation exploration is normal in adolescence, and this response fails to validate the patient’s concerns, potentially alienating them, making it an inappropriate choice for building rapport.

Choice B reason: Suggesting to stop sexual activities if they feel bad implies judgment and may shame the patient. It does not normalize their exploration or foster trust, focusing on negative outcomes rather than open dialogue, making this choice less effective.

Choice C reason: Labeling impulses as abnormal is judgmental and stigmatizing, damaging trust. It pathologizes normal sexual orientation exploration, discouraging open communication and potentially harming the patient’s self-esteem, making this an inappropriate response for a therapeutic relationship.

Choice D reason: Affirming that curiosity about both genders is normal at this age validates the patient’s feelings, fostering trust. It supports open exploration of sexual orientation without judgment, aligning with therapeutic communication principles, making this the correct response.

A. Sanguineous B. Serous C. Serosanguineous D. Purulent

Correct Answer is C

Explanation

Choice A reason: Sanguineous drainage is bright red and consists primarily of blood, indicating active bleeding. Watery red drainage suggests a mix of blood and serous fluid, not pure blood, making this choice incorrect for the described wound drainage.

Choice B reason: Serous drainage is clear or slightly yellow, watery fluid without blood. The presence of red in the described watery drainage indicates a combination with blood, ruling out pure serous drainage, making this choice incorrect for the observed characteristics.

Choice C reason: Serosanguineous drainage is watery, pink to light red, combining serous fluid and blood. This matches the described watery red drainage, typical in healing wounds with minor bleeding, making it the correct documentation term for the nurse to use.

Choice D reason: Purulent drainage is thick, opaque, and often yellow, green, or white, indicating infection. Watery red drainage does not fit this description, as it lacks the viscosity and color of pus, making this an incorrect choice for the wound’s drainage.

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A nurse is preparing to teach a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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