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 C

Explanation

A. Bradycardia, or a slower-than-normal heart rate, is not typically associated with anemia due to blood loss. Instead, anemia often leads to tachycardia (increased heart rate) as the body compensates for the reduced oxygen-carrying capacity of the blood.
B. Hypertension, or elevated blood pressure, is not a common finding in cases of anemia from blood loss. In fact, blood loss often results in hypotension (low blood pressure) due to decreased blood volume and circulating fluid.
C. Fatigue is a common symptom of anemia. As the body's ability to transport oxygen decreases due to the lack of sufficient red blood cells, the client may experience weakness, tiredness, and general fatigue, especially after surgery.
D. Diarrhea is not a typical finding associated with anemia from blood loss. While certain conditions causing anemia (such as gastrointestinal bleeding) could lead to changes in bowel habits, diarrhea itself is not a direct consequence of anemia. Instead, clients may experience symptoms more related to fluid volume status and energy levels.

A. Fatigue B. Night sweats C. Neuropathy D. Weight loss E. Non-productive cough F. Low grade fever

Correct Answer is ["A","B","D","E","F"]

Explanation

A. Fatigue is a common symptom of TB, especially in the early stages. The body's energy is used up fighting the infection, leading to feelings of tiredness.
B. Night sweats are another common symptom of TB. The body's immune system works harder at night, leading to excessive sweating.
C. While neuropathy can be a potential complication of TB, it's not a typical clinical manifestation in the early stages. Neuropathy is more likely to occur in advanced cases or if the TB infection has spread to other parts of the body.
D. TB can cause weight loss due to decreased appetite, increased metabolic rate, and the body's use of energy to fight the infection.
E. A cough is a common symptom of TB. In the early stages, the cough may be dry or non-productive, meaning there's no phlegm or mucus.
F. A low-grade fever is another common symptom of TB. The body's temperature rises slightly as it fights the infection.

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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 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?

Correct Answer is C

Explanation

The nurse is caring for a homeless patient at risk for tuberculosis (TB). Which clinical manifestations of the disease would the nurse include in the teaching plan? (Select All that Apply.)

Correct Answer is ["A","B","D","E","F"]

Explanation

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A patient has had a tonsillectomy yesterday and is now tolerating clear fluids and per order diet can be increased. The patient asks for something different to "eat." Which is most appropriate for the nurse to offer?

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

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?

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

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A nurse is educating a client who has a chronic illness about a DASH diet. Which of the following meals best fits the DASH diet?

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