A nurse is providing discharge teaching to a client has a new prescription for a metered dose inhaler (MDI). Which of the following instructions should the nurse include in the teaching?
Shake the inhaler for 3 to 5 seconds.
Wait 2 min between inhalations.
Press down twice on the MDI canister.
Rinse the mouth with mouthwash after inhaling the medication.
The Correct Answer is A
A. Shaking the inhaler for 3 to 5 seconds ensures the medication is properly mixed for an accurate dose.
B. For most medications delivered by MDI, waiting a few seconds between inhalations is sufficient, not 2 minutes.
C. Pressing down twice on the MDI canister is incorrect. The correct technique involves pressing the canister once while inhaling deeply.
D. Rinsing the mouth with mouthwash after inhaling the medication is not necessary. However, it is important to rinse the mouth with water, especially after using corticosteroid inhalers, to prevent oral thrush.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Montelukast is used for long-term control and prevention of asthma symptoms, not for immediate relief.
B. Albuterol is a short-acting beta-agonist that provides rapid relief of acute asthma symptoms by relaxing bronchial smooth muscle.
C. Fluticasone is a corticosteroid used for long-term management of asthma, not for acute attacks.
D. Budesonide is also a corticosteroid used for long-term control and not for immediate relief.
Correct Answer is B
Explanation
A. Jumping with both feet is a skill typically developed around 2-3 years, so it is not expected for a 15-month-old toddler.
B. By 15 months, a toddler should be able to stand upright without support. The inability to do so may indicate developmental delays or underlying neurological or musculoskeletal issues.
C. Turning a doorknob is a fine motor skill that typically develops around 2-3 years, so it is not expected for a 15-month-old toddler.
D. Building a tower of six to seven cubes is a skill typically developed around 2 years, so it is not expected for a 15-month-old toddler.
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