A nurse is reinforcing discharge teaching with a client following an episode of status
asthmaticus. The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of the
teaching?

“I will wait 10 min between each inhalation.”

“I will hold my breath at least 10 seconds after inhaling the medication.”

“I will tilt my head forward while inhaling the medication.”

“I will hold the inhaler with my non-dominant hand.”

Answer and Explanation

The Correct Answer is B

a. “I will wait 10 min between each inhalation.”: There is no need to wait 10 minutes between

inhalations of albuterol. The usual recommendation is to wait 1-2 minutes if a second inhalation is needed.

b. “I will hold my breath at least 10 seconds after inhaling the medication.”: Holding the breath for at least 10 seconds after inhaling helps ensure that the medication reaches the lower airways and is absorbed effectively.

c. “I will tilt my head forward while inhaling the medication.”: Tilted head position is not necessary for using an inhaler; a proper inhalation technique is more critical.

d. “I will hold the inhaler with my non-dominant hand.”: The hand used to hold the inhaler is not as crucial as proper inhalation technique, but using the dominant hand may be more comfortable for most individuals.

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Correct Answer is B

Explanation

a. Orthopnea: Orthopnea is more commonly associated with left-sided heart failure, where fluid backs up into the lungs, making it difficult to breathe when lying down.

b. Peripheral edema: Right-sided heart failure can lead to systemic venous congestion, resulting in peripheral edema, often evident in the lower extremities.

c. Frothy sputum: Frothy sputum is more indicative of pulmonary edema, which is associated with left-sided heart failure.

d. Dyspnea: While dyspnea can occur with right-sided heart failure, it is more characteristic of left-sided heart failure.

A. Overusing a muscle while jogging B. Twisting a ligament while walking C. Impact injury on a joint from a fall D. Crush injury to a bone from blunt trauma

Correct Answer is B

Explanation

a. Overusing a muscle while jogging: Overuse injuries are more commonly associated with strains, not sprains. Strains involve the muscles or tendons.

b. Twisting a ligament while walking: This is an example of a mechanism that can lead to a sprain. A sprain involves the stretching or tearing of ligaments, which connect bone to bone.

c. Impact injury on a joint from a fall: This is more likely to result in a sprain, as it can cause damage to ligaments.

d. Crush injury to a bone from blunt trauma: This type of injury is more likely to affect bones rather than ligaments or tendons, and it would not be considered a sprain or strain.

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A nurse is reinforcing discharge teaching with a client following an episode of statusasthmaticus. The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of theteaching?

Nursing Test Bank

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A nurse is reinforcing discharge teaching with a client following an episode of status
asthmaticus. The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of the
teaching?