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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Children with asthma can often continue playing sports with proper management and precautions.
B. The peak expiratory flow meter should be used daily to monitor asthma control, not just once per week.
C. Avoiding triggers that cause an attack is a crucial part of managing asthma and preventing exacerbations.
D. Cromolyn sodium is used as a preventive medication, not for immediate relief of breathing difficulty.
Correct Answer is B
Explanation
A. Airborne precautions are not necessary for RSV. Contact and droplet precautions are recommended.
B. Keeping the thermometer in the toddler's room helps prevent cross-contamination and the spread of infection to other patients.
C. Negative air pressure rooms are typically used for airborne pathogens, which are not required for RSV.
D. Allowing the toddler to play in the common room could expose other children to the virus, which is highly contagious.
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