A nurse is teaching an adolescent to self-administer a corticosteroid medication using a metered-dose inhaler (MDI). Which of the following instructions should the nurse include? (Select all that apply)
Wait 30 seconds between puffs.
Shake the device prior to use.
Exhale quickly after medication administration.
Rinse and expectorate after administration.
Inhale slowly after medication administration.
Correct Answer : B,D,E
Choice A reason: Waiting 30 seconds between puffs allows the medication to settle and ensures the second puff is as effective as the first.
Choice B reason: Shaking the device before use helps to mix the medication properly, ensuring a consistent dose with each inhalation.
Choice C reason: Exhaling quickly after inhalation is not recommended; instead, the patient should hold their breath for a few seconds to allow the medication to reach deep into the lungs.
Choice D reason: Rinsing the mouth and expectorating after administration prevents oral thrush, a common side effect of inhaled corticosteroids.
Choice E reason: Inhaling slowly ensures that the medication is delivered deeply into the lungs for maximum efficacy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Assessing the mouth with a tongue blade is not recommended postoperatively as it can cause discomfort and disrupt the surgical site.
Choice B reason: Removing the packing in the mouth is typically done by a healthcare provider, not immediately postoperatively, to avoid bleeding and protect the repair.
Choice C reason: Placing the infant in an upright position is recommended to facilitate breathing and reduce swelling⁷.
Choice D reason: Offering a pacifier with sucrose is not advisable as it can interfere with the healing of the cleft repair⁷.
Correct Answer is B
Explanation
Choice A reason: Bed rest is not a specific treatment for Hirschsprung's disease. While rest may be part of preoperative care, it does not address the underlying issue of the disease⁹.
Choice B reason: Surgery is the definitive treatment for Hirschsprung's disease. The pull-through procedure is commonly used to remove the affected section of the colon and connect the healthy part to the anus⁷.
Choice C reason: An NG tube may be used for decompression if there is a bowel obstruction, but it is not a treatment for Hirschsprung's disease itself. Surgery is required to correct the absence of nerve cells in the colon⁹.
Choice D reason: A high-fiber diet is not recommended before surgery as it may increase the risk of enterocolitis and bowel obstruction in patients with Hirschsprung's disease⁹.
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