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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Fever
Fever is a common sign of infection, but it may not be the earliest indicator of peritonitis in peritoneal dialysis. It often appears after other more specific symptoms, like changes in the dialysis effluent.
B. Cloudy effluent
Cloudy effluent is the earliest and most specific sign of peritonitis in clients undergoing peritoneal dialysis. It indicates the presence of white blood cells and bacteria, suggesting an infection in the peritoneal cavity.
C. Increased heart rate
An increased heart rate can occur with infection or pain, but it is not specific to peritonitis and may arise later. It is a less direct indicator compared to changes in the dialysis fluid.
D. Generalized abdominal pain
Abdominal pain is a significant symptom but typically follows the early sign of cloudy effluent. It indicates inflammation and irritation in the peritoneal cavity, often accompanying infection progression.
Correct Answer is C,A,D,B
Explanation
The sequence of steps the nurse should take when caring for a client who has a spinal cord injury and has developed autonomic dysreflexia is as follows:
C. Place the client in an upright sitting position. This helps to lower blood pressure by promoting venous return.
A. Confirm that the client’s bladder is empty. A distended bladder is a common cause of autonomic dysreflexia.
D. Administer an antihypertensive medication intravenously. If the previous interventions do not alleviate the symptoms, medication may be needed to lower the client’s blood pressure.
B. Indicate the risk for autonomic dysreflexia in the client’s medical record. This is important for ongoing care and future healthcare providers.
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