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: Administering an antidiuretic would be counterproductive in the treatment of a UTI as it would decrease urine output, potentially allowing bacteria to remain in the urinary tract.

Choice B reason: Encouraging frequent voiding helps to flush out bacteria from the urinary tract, which is beneficial in the management of a UTI.

Choice C reason: While evaluating a child's self-esteem is important, it is not directly related to the care of a child with a UTI.

Choice D reason: Restricting fluids is not advisable for a UTI as it would reduce urine flow and hinder the flushing out of bacteria.

A. "Children play alongside each other but do not interact." B. "Children exhibit organized play when in a group." C. "The child plays independently when in a group." D. "Children sit and observe others playing."

Correct Answer is A

Explanation

The correct answer is a. "Children play alongside each other but do not interact."

Choice A reason: Parallel play is characterized by children playing next to each other without engaging in direct interaction or cooperative play, which is typical behavior at certain developmental stages.

Choice B reason: Organized play involves interaction and cooperation, which is not characteristic of parallel play.

Choice C reason: While children may play independently in a group, this statement does not capture the essence of parallel play, which involves proximity without interaction.

Choice D reason: Observing others play is more indicative of onlooker behavior rather than parallel play.

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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 planning care for a child who has a urinary tract infection (UTI). Which of the following interventions should the nurse include?

Correct Answer is B

Explanation

A nurse is teaching a guardian about parallel play in children. Which of the following statements should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a preschooler. Which of the following is an expected behavior of a preschool-age child?

A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following actions should the nurse take?

A nurse is caring for a child who has enuresis. Which of the following is a complication of enuresis?

A nurse is reviewing the diagnostic findings for a preschool-age child who is suspected of having cystic fibrosis. Which of the following findings should the nurse identify as an indication of cystic fibrosis?

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.)

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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?