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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Asking the client to state their name is useful but less reliable than a wristband, as confusion or language barriers may lead to errors. Wristbands provide objective identification, making this secondary.
Choice B reason: Checking the client’s wristband is the most reliable method, as it contains verified identifiers (name, medical record number). This ensures accurate identification, making it the correct action for verification.
Choice C reason: Asking a family member is unreliable, as they may be mistaken or absent. Wristbands provide standardized, objective identification, making family confirmation inappropriate and less accurate.
Choice D reason: Comparing the client’s face to a photo is useful but not always available or reliable, especially in emergencies. Wristband verification is standard and objective, making this a secondary method.
Correct Answer is C
Explanation
Choice A reason: Stating that older patients usually ask for help is inaccurate, as some may avoid requesting assistance due to pride or unawareness. Providing information empowers informed decisions, promoting independence more effectively than relying on assumptions about help-seeking behavior.
Choice B reason: Suggesting permanent nursing home placement dismisses rehabilitation potential. Providing information about care options supports tailored plans for independence, as many patients can regain self-care abilities with therapy, making this choice incorrect.
Choice C reason: Providing information and answering questions empowers the patient and family to choose care options (e.g., therapy, aids) that promote independence. This collaborative approach fosters self-care by aligning interventions with the patient’s goals, making it the most effective action.
Choice D reason: Enrolling in a ceramics class may enhance quality of life but does not directly address mobility or self-care post-hip fracture. Education on care options better supports functional recovery, making this choice less relevant to promoting independence.
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