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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: A sensation of being cold can occur as the body's circulation diminishes and blood flow to the extremities decreases.
Choice B reason: A heightened sense of hearing is not typically a sign of impending death; this choice is incorrect.
Choice C reason: Difficulty swallowing can be a sign of impending death due to the body's muscles weakening and a decrease in reflexes.
Choice D reason: Tachycardia may occur as the heart tries to compensate for decreased function in other systems.
Choice E reason: Cheyne-Stokes respirations, characterized by a pattern of irregular breathing, are a common sign of impending death.
Correct Answer is D
Explanation
Choice A reason: Suggesting that a hospital representative attend the funeral is not typically within the scope of the nurse's role and may not be appropriate in all situations.
Choice B reason: Developing a professional support system can help nurses cope with the emotional demands of caring for dying children and prevent burnout.
Choice C reason: Demonstrating feelings of sympathy toward the family can provide comfort and support during a difficult time, which is an important aspect of nursing care.
Choice D reason: Taking time off from work can help nurses manage stress and grief, allowing them to maintain their well-being and professional effectiveness.
Choice E reason: Remaining in contact with the family after their loss can provide ongoing support and is a compassionate gesture that can help families cope with their grief.
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