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 D

Explanation

A. Bradypnea, or a slow respiratory rate, is concerning but not typically associated with asthma exacerbations. In asthma, patients usually experience tachypnea (increased respiratory rate) as they try to compensate for difficulty breathing.
B. A decreased respiratory rate in an asthma patient can be alarming, but it may not necessarily indicate an immediate need for intervention unless it’s associated with other severe symptoms. In general, asthma patients often have an increased respiratory rate due to respiratory distress.
C. While crackles can indicate fluid in the lungs and may suggest an underlying issue, they are not the most immediate concern in a patient with asthma. Crackles can occur in various conditions, and they alone may not necessitate urgent intervention.
D. Diminished breath sounds are a critical finding in asthma patients. This may indicate severe airway obstruction or a lack of air movement due to severe bronchospasm. In the context of asthma, diminished breath sounds can signify that the patient is not able to move air effectively, which requires immediate intervention to prevent respiratory failure.

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

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

Correct Answer is D

Explanation

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

Correct Answer is D

Explanation

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