A nurse is teaching a child who has asthma about using a metered-dose inhaler with a mouthpiece. Identify the sequence of steps the nurse should instruct the child to take. (Move the steps below into the box on the right, placing them in the order of performance. Use all the steps.)

Remove the inhaler from the mouth.

Depress the canister while inhaling slowly.

Hold breath for 10 seconds.

Exhale slowly through the nose.

Answer and Explanation

The Correct Answer is D,B,C,A

D. Before using the inhaler, the child should exhale fully to empty the lungs and ensure that the medication can be effectively inhaled. This step prepares the airways to receive the medication.

B. As the child starts to inhale slowly and deeply through the mouthpiece, they should simultaneously depress the canister to release the medication. This coordinated action ensures that the medication is delivered into the lungs.

C. After inhaling the medication, the child should hold their breath for about 10 seconds (or as long as comfortable). This allows the medication to settle in the airways and improves its effectiveness.

A. After holding the breath, the child can remove the inhaler from their mouth. This step concludes the inhalation process and allows the child to exhale normally.

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Correct Answer is ["A","B","C","D","E"]

Explanation

A. Keeping the child’s nails trimmed and filed helps prevent excessive scratching that can lead to skin infections and worsening of dermatitis. It reduces the risk of injury to the skin and minimizes the potential for secondary infections from scratching.
B. This is a key recommendation for managing atopic dermatitis. Emollients (moisturizers) should be applied immediately after bathing to help lock in moisture and prevent the skin from becoming dry, which can exacerbate the condition. Moisturizing regularly helps to soothe the skin and reduce itching.
C. Applying gloves or mittens can be helpful in preventing the child from scratching and irritating the skin. This is especially useful at night to minimize scratching while the child is asleep.
D. Using a mild, fragrance-free detergent is important to prevent irritation of the skin. Harsh chemicals and fragrances in regular detergents can exacerbate atopic dermatitis and irritate sensitive skin.
E. It is realistic to inform the guardian that atopic dermatitis is a chronic condition with potential flare- ups. Understanding that flare-ups are a normal part of the condition can help the guardian manage expectations and better cope with the condition over time.
F. Atopic dermatitis is not contagious. It is an allergic condition related to immune system dysfunction and genetic factors, not an infectious disease. Therefore, it cannot be spread to others.
G. While pimecrolimus cream is an effective treatment for atopic dermatitis, it should be applied according to the provider's instructions, which generally involve applying a thin layer rather than a thick layer. Overapplication can lead to potential side effects or diminished effectiveness.

A. Chicken soup B. White grape juice C. Applesauce D. Oral electrolyte solution

Correct Answer is D

Explanation

A. While chicken soup is often considered a comfort food, it's not ideal for an infant with acute diarrhea. It's too heavy and can worsen symptoms.
B. Sugary drinks like white grape juice can actually worsen diarrhea. They can also lead to dehydration due to increased water loss.
C. While applesauce was once recommended as part of the BRAT diet, it's not considered as beneficial as it once was. It's better to offer oral electrolyte solutions.
D. Oral electrolyte solutions (ORS) are specifically designed to replenish fluids and electrolytes lost through diarrhea. They are essential in preventing dehydration.

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A nurse is teaching a child who has asthma about using a metered-dose inhaler with a mouthpiece. Identify the sequence of steps the nurse should instruct the child to take. (Move the steps below into the box on the right, placing them in the order of performance. Use all the steps.)

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Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is preparing to discharge a 3-year- old child. Exhibits Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.

Correct Answer is ["A","B","C","D","E"]

Explanation

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Correct Answer is D

Explanation

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A nurse is teaching a child who has asthma about using a metered-dose inhaler with a mouthpiece. Identify the sequence of steps the nurse should instruct the child to take. (Move the steps below into the box on the right, placing them in the order of performance. Use all the steps.)

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