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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A) Decreased responsiveness of airways to allergens:
Asthma is characterized by an increased responsiveness of the airways to various triggers, including allergens, rather than a decreased responsiveness. This heightened sensitivity leads to bronchoconstriction and inflammation, contributing to the symptoms of an asthma attack.

B) Suppressed bronchiolar inflammatory response:
During an asthma attack, there is an exaggerated bronchiolar inflammatory response rather than suppression. Inflammatory mediators cause swelling, mucus production, and constriction of the airways, making it difficult for the client to breathe.

C) Acute loss of alveolar elasticity:
The loss of alveolar elasticity is more characteristic of conditions like emphysema rather than asthma. Asthma primarily involves the airways rather than the alveoli, with symptoms resulting from bronchoconstriction and inflammation rather than loss of elasticity.

D) Inability to exhale retained carbon dioxide:
During an acute asthma attack, bronchoconstriction and airway inflammation lead to air trapping and difficulty in exhaling. This results in the retention of carbon dioxide and subsequent respiratory distress. The inability to exhale effectively exacerbates symptoms, making it a key contributing factor to the manifestations of an asthma attack.

A. Oxygen saturation 95% B. Respiratory rate 14/min C. Blood pressure 90/50 mm Hg D. Heart rate 60/min

Correct Answer is C

Explanation

A. Oxygen saturation 95%:
An oxygen saturation of 95% indicates adequate oxygenation and does not necessarily provide information about the effectiveness of dopamine in treating hypovolemic shock. Oxygen saturation is generally within normal range and does not directly influence the decision to adjust dopamine dosage.

B. Respiratory rate 14/min:
A respiratory rate of 14/min is within the normal range for adults and does not indicate a need to increase dopamine dosage. Respiratory rate alone is not a direct measure of the effectiveness of dopamine in managing shock.

C. Blood pressure 90/50 mm Hg:
A blood pressure of 90/50 mm Hg is indicative of hypotension, which is a critical concern in hypovolemic shock. If the client's blood pressure remains low despite dopamine infusion, it may signal that the dosage is insufficient to improve perfusion and maintain adequate blood pressure. Increasing the dopamine dosage can help to achieve better hemodynamic stability.

D. Heart rate 60/min:
A heart rate of 60/min is considered bradycardic but not immediately concerning unless accompanied by symptoms of poor perfusion or hypotension. Dopamine is used to improve blood pressure and cardiac output rather than directly address heart rate alone. If the blood pressure is low, increasing the dopamine dosage would be more appropriate than focusing on heart rate.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

A nurse is caring for a client who is experiencing an acute asthma attack. Which of the following should the nurse identify as a contributing factor to the client's manifestations?

Correct Answer is D

Explanation

A nurse in the emergency department is monitoring a client who is receiving dopamine to treat hypovolemic shock. Which of the following findings should the nurse identify as an indication for increasing the client's dopamine dosage?

Correct Answer is C

Explanation

A nurse is caring for a client who has emphysema. Which of the following interventions should the nurse include in the client's plan of care?

A nurse is caring for a client immediately following a cardiac catheterization through the right femoral artery. Which of the following actions should the nurse take?

A nurse on a medical-surgical unit is planning care for a client who has dementia and a history of wandering. Which of the following actions should the nurse plan to implement?

A nurse is providing discharge teaching to a client who has pulmonary tuberculosis. Which of the following findings should the nurse include as an indication the client is no longer infectious?

A charge nurse receives a call from the house supervisor requesting room assignments for four new clients. Based on the admission diagnoses, which of the following clients requires a private room?

A nurse is providing teaching to a client who is to start furosemide therapy for heart failure. Which of the following statements indicates that the client understands a potential adverse effect of this medication?

A nurse is reviewing the arterial blood gas report of a client who is in metabolic acidosis. Which of the following findings should the nurse expect?

A nurse is caring for a client who is postoperative and develops respiratory depression after receiving morphine for pain control. Which of the following medications should the nurse expect the provider to prescribe?