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.

Answer and Explanation

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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Correct Answer is B

Explanation

Choice A reason: Removing personal objects from the room is not reflective of palliative care principles, which focus on comfort and personal significance.

Choice B reason: Listening and responding to the family's discussions about their child's life aligns with the holistic approach of palliative care, which includes emotional support.

Choice C reason: Expressing personal feelings of missing the client is not indicative of an understanding of palliative care roles and responsibilities.

Choice D reason: Being hopeful about new medications is not relevant to palliative care, which focuses on quality of life rather than curative treatment.

A. Use a universal dropper for medication administration. B. Add the medication to a formula bottle before feeding. C. Ask the pharmacy to add flavoring to the medication. D. Use the nipple of a bottle to administer the medication.

Correct Answer is ["A","C","D"]

Explanation

Choice A reason: A universal dropper ensures accurate dosing, which is crucial for infants due to their small size and the precise dosing required for their medications.

Choice B reason: Adding medication to a formula bottle is not recommended because if the infant does not finish the bottle, they will not receive the full medication dose.

Choice C reason: Flavoring can help mask the taste of medications, making it easier for infants to take them, which is especially useful if the medication has an unpleasant taste.

Choice D reason: Using the nipple of a bottle can be an effective way to administer medication to an infant who is used to bottle-feeding, as it can make the process more familiar and comfortable.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has a terminal illness and reviews palliative care with assistive personnel (AP). Which of the following statements by the AP indicates an understanding of this review?

Correct Answer is B

Explanation

A nurse is teaching a guardian of an infant about the administration of oral medications. Which of the following should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

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