A nurse is teaching a client who has asthma about how to use a metered-dose inhaler with a spacer. Which of the following information should the nurse include in the teaching?

"The spacer should make a whistling sound as you inhale."

"Walt 30 seconds between puffs."

"Hold your breath for 10 seconds once you inhale,"

"Clean the spacer daily with cold water."

Answer and Explanation

The Correct Answer is C

A) "The spacer should make a whistling sound as you inhale":
The spacer should not make a whistling sound; this often indicates that the client is inhaling too quickly. The goal is to inhale slowly and deeply to ensure the medication is delivered effectively to the lungs.

B) "Wait 30 seconds between puffs":
Waiting 30 seconds between puffs is typically not necessary for most inhaled medications. The general recommendation is to wait about 1 minute if using the same medication and up to 5 minutes if using different medications, but this varies depending on the specific inhaler and medication.

C) "Hold your breath for 10 seconds once you inhale":
Holding the breath for 10 seconds after inhaling is important for ensuring that the medication reaches deep into the lungs and is not prematurely exhaled. This practice helps maximize the effectiveness of the medication.

D) "Clean the spacer daily with cold water":
Spacers should be cleaned regularly, but not necessarily daily. They should be cleaned at least once a week, and warm soapy water is usually recommended. Cold water may not effectively remove all residues or bacteria.

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Correct Answer is D

Explanation

A) "Provide plenty of stimulation in the client's room":
This statement may not be appropriate for a client with Alzheimer's disease. Too much stimulation can lead to agitation and confusion. It's important to balance stimulation with a calm and predictable environment.

B) "Display a monthly calendar in the client's room":
While calendars can help some clients maintain a sense of time and routine, they may not be useful for everyone with Alzheimer's disease. The concept of time may become confusing or irrelevant as the disease progresses.

C) "Keep the client's room dark at night to promote sleep":
Maintaining a regular sleep schedule and environment is important, but keeping the room dark all the time may disrupt the client's circadian rhythm. Natural light exposure during the day and dim lighting in the evening can help regulate sleep-wake cycles.

D) "Provide the client with structured activities to fill their time":
This statement is correct. Structured activities help maintain cognitive function and reduce agitation in clients with Alzheimer's disease. Engaging in activities that are familiar and enjoyable can also enhance quality of life.

A. Thyroidectomy B. Repair of a torn rotator cuff C. Tympanoplasty D. Internal fixation of a fractured hip

Correct Answer is D

Explanation

A) Thyroidectomy:
A thyroidectomy involves the removal of all or part of the thyroid gland and is not typically associated with fat embolism syndrome. This procedure does not involve trauma or surgery to large bone structures, which is a key risk factor for fat embolism syndrome.

B) Repair of a torn rotator cuff:
Repairing a torn rotator cuff involves the shoulder muscles and tendons, not major bones. While there are some risks associated with shoulder surgery, fat embolism syndrome is not commonly linked to this type of procedure.

C) Tympanoplasty:
A tympanoplasty is a surgical procedure to repair a perforated eardrum or reconstruct the middle ear. This type of surgery does not involve large bones or fat deposits, and thus is not a known risk factor for fat embolism syndrome.

D) Internal fixation of a fractured hip:
Internal fixation of a fractured hip is associated with a significant risk of fat embolism syndrome. This is because the procedure involves large bones, which, when fractured, can release fat globules into the bloodstream. These fat globules can then travel to the lungs, brain, or other organs, causing fat embolism syndrome.

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A nurse is teaching a client who has asthma about how to use a metered-dose inhaler with a spacer. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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