A nurse is teaching a client who has asthma and a prescription for an inhaler. Which of the following instructions should the nurse include?

"Clean the canister and cap of the inhaler every 2 weeks."

"Wait 1 minute between puffs of the inhaler."

"Tilt your head forward and inhale rapidly while depressing the canister."

"Place your middle finger at the mouthpiece and your thumb at the top of the inhaler."

Answer and Explanation

The Correct Answer is B

A) "Clean the canister and cap of the inhaler every 2 weeks": While it's important to keep the inhaler clean, it should be cleaned more frequently than every 2 weeks. Typically, cleaning is recommended at least once a week to prevent medication buildup and ensure proper functioning.

B) "Wait 1 minute between puffs of the inhaler": Waiting 1 minute between puffs allows the medication from the first puff to take effect and opens the airways, making the second puff more effective. This practice helps maximize the medication's absorption and effectiveness.

C) "Tilt your head forward and inhale rapidly while depressing the canister": The correct technique involves tilting the head slightly back, not forward, to open the airways better. Additionally, the client should inhale slowly and deeply, rather than rapidly, to ensure the medication is properly delivered to the lungs.

D) "Place your middle finger at the mouthpiece and your thumb at the top of the inhaler": This description of finger placement is incorrect. The correct technique is to place the thumb at the base of the inhaler and the index and middle fingers on the top of the canister to allow for proper grip and activation of the inhaler.

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 B

Explanation

A) Ibuprofen: While ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) commonly used for pain relief and inflammation, it is not the best choice for a client with a history of peptic ulcer disease. NSAIDs can exacerbate gastrointestinal issues and increase the risk of ulcer complications.

B) Tramadol: Tramadol is a moderate pain reliever that is not an NSAID and does not have the gastrointestinal side effects associated with NSAIDs. It is a suitable choice for short-term pain management in clients with a history of peptic ulcer disease, as it does not increase the risk of ulcer complications.

C) Ketorolac: Ketorolac is a potent NSAID used for short-term pain management. It is not recommended for clients with a history of peptic ulcer disease due to its high risk of causing gastrointestinal bleeding and exacerbating ulcer conditions.

D) Aspirin: Aspirin is an NSAID and has a high potential to irritate the gastrointestinal tract, which can worsen peptic ulcer disease and lead to complications such as bleeding. It is generally avoided in clients with a history of peptic ulcers.

A. Protective environment B. Airborne precautions C. Contact precautions D. Droplet precautions

Correct Answer is D

Explanation

A) Protective environment
This type of isolation is used for clients with weakened immune systems to protect them from infections. It is not necessary for pertussis, which requires droplet precautions to prevent spread.

B) Airborne precautions
These are used for diseases that are spread through tiny droplets that remain in the air, such as tuberculosis. Pertussis spreads through larger respiratory droplets, not lingering in the air, so airborne precautions are not needed.

C) Contact precautions
These are used for infections spread by direct touch or contact with surfaces. Pertussis primarily spreads through respiratory droplets rather than direct contact, making contact precautions unnecessary.

D) Droplet precautions
Droplet precautions are appropriate for pertussis, as it spreads via respiratory droplets when an infected person coughs or sneezes. This involves wearing masks and maintaining distance to prevent transmission.

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 and a prescription for an inhaler. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting an admission history from a client who has a history of peptic ulcer disease. The client requests pain medication for a sprained ankle. Which of the following medications should the nurse expect the provider to prescribe for this client short-term?

Correct Answer is B

Explanation

A nurse is planning care for a client who has the communicable disease pertussis. Which of the following isolation guidelines should the nurse include in the plan?

Correct Answer is D

Explanation

A community health nurse is developing an educational program about the communicable disease varicella during childhood. Which of the following information should the nurse include?

A nurse is teaching a client who has pneumonia about the use of an incentive spirometer. Which of the following instructions should the nurse Include?

A nurse is assisting a client who has recently passed a calcium oxalate renal calculus with making dietary menu selections. The nurse should recommend the client limit the intake of which of the following foods?

A nurse is assessing a female client who has a new diagnosis of hyperthyroidism. Which of the following manifestations should the nurse expect?

A nurse is planning care for a group of clients following change-of-shift report. When using clinical decision making, which of the following clients should the nurse assess first?

A nurse is planning teaching for a male client who has hyperlipidemia and type 2 diabetes mellitus. The nurse should plan to instruct the client that these two factors increase the client's risk for which of the following conditions?

A nurse in an emergency department is caring for a client who has a compound fracture of the right tibia. Which of the following actions should the nurse take?

A nurse is caring for a client who is at 31 weeks of gestation and has gestational diabetes mellitus. The client asks, "Can gestational diabetes affect my baby?" Which of the following responses should the nurse make?