A nurse is providing teaching about the use of metered-dose inhalers to a client who has asthma. Which of the following instructions should the nurse include?
"Hold your breath for 10 seconds after each puff."
"Inhale rapidly for 1 to 2 seconds after depressing the canister."
“Hold the mouthpiece 4 Inches away from your open mouth.”
"Tilt your head forward while inhaling.”
The Correct Answer is A
A. "Hold your breath for 10 seconds after each puff.": This allows the medication to deposit deeply into the airways, enhancing absorption and therapeutic effect. It is a key step in proper MDI technique.
B. "Inhale rapidly for 1 to 2 seconds after depressing the canister.": Inhalation should be slow and deep over 3 to 5 seconds to allow proper delivery of the medication into the lungs.
C. “Hold the mouthpiece 4 inches away from your open mouth.”: The preferred technique is to place the mouthpiece directly in the mouth with lips sealed around it unless a spacer is used.
D. "Tilt your head forward while inhaling.": The correct method is to tilt the head slightly back to open the airway and facilitate deeper inhalation of the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E","F"]
Explanation
A. Heart rate: The heart rate decreased from 110/min on Day 3 to 78/min on Day 5, indicating resolution of systemic inflammatory response and improved hemodynamic status.
B. WBC count: The WBC count decreased from 33,000/mm³ (marked leukocytosis) to 10,000/mm³, which is within the normal range and suggests resolution of infection.
C. Hemoglobin: A drop in hemoglobin from 11.1 g/dL to 10 g/dL does not reflect improvement; it may indicate mild blood loss or fluid shifts common postpartum. Although not alarming, it requires monitoring rather than being interpreted as a sign of recovery.
D. Temperature: The client’s temperature returned from a febrile state (38.6°C) to normal (37.1°C), demonstrating the effectiveness of antibiotic therapy and reduced inflammation.
E. Fundal height: The uterus involuted from 1 cm above the umbilicus to 4 cm below, indicating normal postpartum uterine contraction and resolution of uterine atony.
F. Lochia: Lochia changed from a moderate amount of foul-smelling discharge to a small amount of brownish-red discharge with no odor, suggesting that endometrial infection is resolving and healing is progressing.
Correct Answer is D
Explanation
A. “Does the doctor know that you are eating that?”: Questioning the client’s food choice may come across as judgmental and does not address the client’s immediate request or provide support.
B. “The hospital food is more nutritious for you.”: Comparing foods in this way may discourage the client and does not acknowledge cultural preferences or the client’s autonomy in food choices.
C. “Why are you eating seaweed soup?”: Asking “why” can seem confrontational and may make the client feel defensive instead of supported during the postpartum period.
D. "Of course, I will heat that up for you.”: This response respects the client’s autonomy, supports cultural preferences, and provides comfort, which helps build trust and rapport in the nurse-client relationship.
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