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 D
Explanation
A. Sacrum: The sacrum is typically assessed for pressure injuries but is not the most reliable site for detecting cyanosis in clients with dark skin because of variable pigmentation.
B. Shoulders: The shoulders have significant pigmentation and are not ideal for assessing cyanosis in dark-skinned clients due to difficulty distinguishing color changes.
C. Area of trauma: Trauma sites may show redness or bruising unrelated to cyanosis, making them unreliable for assessing oxygenation status.
D. Palms of the hands: The palms have less melanin and are lighter in color, making them a better site to observe for cyanosis in clients with dark skin due to clearer visualization of bluish discoloration.
Correct Answer is C
Explanation
A.This is incorrect since the loadshould be held as close to the nurse's center of gravity (the pelvis) as possible.
B.This is incorrect since the back should remain straight or in its natural "S" curve throughout the lift. The power for the lift should come from the gluteal and femoral muscles, not the back.
C.This is correct since the nurse is squatting and bending at the knees, keeping the back straight. Bending at the knees and hips to engage stronger leg muscles rather than the lower back. The object should also be keptclose to the torso, not held at arm’s length, shoulders aligned, no twisting of the trunk, and the eyes forward, head aligned with the spine.
D. This is incorrect since the feet placement should be a wide base of support, one foot slightly ahead of the other. The back alignment includes the spine kept straight, no twisting or bending at the waist. Knees should be bent to lower the body, rather than bending forward.
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