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.

Answer and Explanation

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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Correct Answer is A

Explanation

A. Obtaining a detailed history is a critical first step to understand the context of the injuries, which may then lead to further actions based on the findings.
B. Asking a psychiatrist to talk with the parents might be helpful, but it is not the first step in managing suspected abuse.
C. Reporting suspected abuse to the authorities is a mandatory action for healthcare providers in cases where child abuse is suspected. However, it should be done after taking a detailed history to understand the context of the injuries.
D. Separating the child from the parents may be necessary in some cases but should be done under the guidance of authorities to ensure proper procedure and safety.

A. Brisk capillary refill B. Clear breath sounds C. Increased respiratory rate D. Stable oxygen saturation

Correct Answer is B

Explanation

A. Brisk capillary refill is not directly related to the effectiveness of tracheostomy suctioning.

B. Clear breath sounds indicate that secretions have been successfully removed from the airway, making the suctioning effective.

C. Increased respiratory rate could indicate distress or a need for further intervention.

D. Stable oxygen saturation is important but can be maintained by other means and does not solely indicate the effectiveness of suctioning.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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