A nurse is teaching a client who has a new prescription for an albuterol inhaler. Which of the following instructions should the nurse include?
Inhale the medication quickly
Rinse your mouth after inhalation
Take two puffs every 2 minutes
Hold the mouthpiece 6 inches from your mouth
The Correct Answer is B
Choice A reason: Inhaling quickly reduces medication deposition in the lungs. A slow, deep inhalation ensures proper delivery, making this incorrect for effective albuterol inhaler use.
Choice B reason: Rinsing the mouth after inhalation removes residue, preventing irritation or thrush, though less common with albuterol. This is a standard instruction, making it the correct choice.
Choice C reason: Two puffs every 2 minutes exceeds typical albuterol dosing (1–2 puffs every 4–6 hours). This risks overuse, causing side effects, making it incorrect.
Choice D reason: Holding the mouthpiece 6 inches away is incorrect; it should be 1–2 inches or in a spacer. This ensures proper aerosol delivery, making this incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Tiny blood clots in the urine (hematuria) suggest urinary tract infection or trauma, not directly related to incontinence or mobility issues. Skin irritation from prolonged urine exposure is more expected, making this finding less likely in this patient patient.
Choice B reason: Skin irritation and redness in the perineal area are expected in urinary incontinence and impaired mobility, as prolonged moisture and pressure cause maceration and dermatitis. This is a common complication requiring skin protection, making it the correct finding finding.
Choice C reason: Increased urinary frequency may occur in incontinence but is not the primary concern compared to skin damage from constant moisture due to impaired mobility. Perineal irritation is a more direct consequence, making this less specific to the described scenario.
Choice D reason: Decreased urine specific gravity indicates dilute urine, unrelated to incontinence or mobility. It may occur in overhydration, but skin irritation from urine exposure is the most relevant finding in this patient context, making this incorrect incorrect.
Correct Answer is B
Explanation
Choice A reason: Asking the client to state their name is useful but less reliable than a wristband, as confusion or language barriers may lead to errors. Wristbands provide objective identification, making this secondary.
Choice B reason: Checking the client’s wristband is the most reliable method, as it contains verified identifiers (name, medical record number). This ensures accurate identification, making it the correct action for verification.
Choice C reason: Asking a family member is unreliable, as they may be mistaken or absent. Wristbands provide standardized, objective identification, making family confirmation inappropriate and less accurate.
Choice D reason: Comparing the client’s face to a photo is useful but not always available or reliable, especially in emergencies. Wristband verification is standard and objective, making this a secondary method.
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