A nurse is teaching a client who has asthma how to use a metered-dose inhaler (MDI). The nurse identifies the sequence of steps the client should follow. (Move the steps, placing them in the selected order of performance. Use all steps.)

Breathe in deeply over 2 to 3 seconds while pushing down on the canister.

Wait 60 seconds between each puff.

Place her lips firmly around the mouthpiece.

Exhale slowly through pursed lips.

Inhale deeply and then exhale completely.

Hold her breath for 10 seconds.

Answer and Explanation

The Correct Answer is F,D,A,B,E,C

F. Inhale deeply and then exhale completely: This ensures that the airways are clear before inhaling the medication.
D. Place her lips firmly around the mouthpiece: A tight seal around the mouthpiece is important to prevent the medication from escaping and to ensure that it reaches the lungs.
A. Breathe in deeply over 2 to 3 seconds while pushing down on the canister: This action releases the medication into the lungs. It's important to inhale slowly and deeply to maximize the delivery of the medication.
G. Hold her breath for 10 seconds: Holding the breath allows the medication to settle into the lungs, increasing its effectiveness.
E. Exhale slowly through pursed lips: Exhaling slowly helps to prevent the medication from being exhaled too quickly and reduces the risk of irritation to the airways.
C. Wait 60 seconds between each puff: If more than one puff is prescribed, waiting 60 seconds between puffs allows the medication from the first puff to settle into the lungs before inhaling the second puff.

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Correct Answer is B

Explanation

A. This statement is not necessarily true for every situation. While close contacts of a person with active TB may need to be tested and could receive preventive treatment (especially if they are at high risk), not all family members will automatically need to take medications.
B. A standard treatment regimen for active pulmonary TB typically lasts at least 6 months, and sometimes longer, depending on the specific circumstances (e.g., drug resistance, extent of disease). Consistent adherence to the medication regimen is crucial to ensure effective treatment and prevent the development of drug-resistant TB.
C. The Mantoux test (or tuberculin skin test) may remain positive even after successful treatment for TB, as it indicates past exposure rather than active disease. The decision to discontinue medications is based on clinical and microbiological evaluations, not solely on the Mantoux test result.
D. While it is crucial for the client to complete the full course of prescribed medications, they do not need to take them for life. Treatment typically lasts for 6 to 9 months, and clients should not continue medication indefinitely. It is essential to emphasize adherence to the treatment regimen but also to note that it is finite.

A. Aspirin should be taken for fever. B. Antibiotics should be taken for 10 days. C. Vaccinations need to be administered yearly to prevent illness. D. Proper handwashing can prevent the spread of the infection.

Correct Answer is D

Explanation

A. Aspirin is not recommended for children due to the risk of Reye's syndrome, a serious condition that can occur when aspirin is given to children recovering from viral infections. Instead, acetaminophen or ibuprofen is preferred for fever management in children. Therefore, this option is not appropriate.
B. Nasopharyngitis is typically caused by viral infections, and antibiotics are ineffective against viruses. Antibiotics may be prescribed if a bacterial infection is diagnosed, but this is not the standard treatment for nasopharyngitis.
C. While vaccinations are crucial for preventing certain illnesses, there is no specific vaccine for nasopharyngitis, which is caused by various viruses. However, vaccinations for other respiratory illnesses (like influenza) can help reduce the risk of complications. This statement may cause confusion since it implies a direct preventive measure for nasopharyngitis itself.
D. Teaching children about proper hand hygiene is essential, as handwashing can significantly reduce the transmission of viruses that cause nasopharyngitis and other infections.

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A nurse is teaching a client who has asthma how to use a metered-dose inhaler (MDI). The nurse identifies the sequence of steps the client should follow. (Move the steps, placing them in the selected order of performance. Use all steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. Which of th following information should the nurse include in the teaching?

Correct Answer is B

Explanation

What should the nurse include when teaching school-age children about nasopharyngitis?

Correct Answer is D

Explanation

The nurse is assessing a patient who is diagnosed with tuberculosis. Which assessment finding correlates with this diagnosis?

A nurse is assessing a client who is postoperative and has anemia due to excess blood loss following surgery. Which of the following findings should the nurse expect?

Which physical assessment(s) would be pertinent to the patient with asthma? (Select All that Apply.)

The nurse is caring for a patient newly diagnosed with asthma. Which assessment data indicates the need for an immediate intervention?

At a community health fair, the blood pressure of a 62-year-old patient is 160/96 mmHg. The patient states "My blood pressure is usually much lower." What is the best response by the nurse?

Which test would the nurse expect the primary care provider to order to look for exposure to tuberculosis?

In administering a calcium channel blocker to a patient diagnosed with primary hypertension, the nurse understands this is due to which mechanism of action of this medication?

A client is admitted to the hospital for medical treatment of pneumonia. What diagnostic test would the nurse examine to help the health care provider to determine the next step in planning care?