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 into the box on the right, placing them in the selected order of performance. Use all steps.)

Inhale deeply and then exhale completely.

Place her lips firmly around the mouthpiece.

Hold her breath for 10 seconds.

Exhale slowly through pursed lips.

Breathe in deeply over 2 to 3 seconds while pushing down on the canister.

Wait 60 seconds between each puff.

Answer and Explanation

The Correct Answer is A,B,E,C,D,F

Inhale deeply and then exhale completely: This step helps to empty the lungs, making room for the medication to be inhaled effectively.

Place her lips firmly around the mouthpiece: Ensuring a tight seal around the mouthpiece prevents the medication from escaping and ensures proper delivery to the lungs.

Breathe in deeply over 2 to 3 seconds while pushing down on the canister: Coordinating the inhalation with the activation of the canister ensures that the medication is inhaled deeply into the lungs.

Hold her breath for 10 seconds: Holding the breath allows the medication to settle in the lungs and increase its effectiveness.

Exhale slowly through pursed lips: This helps to maintain the medication in the lungs for as long as possible and promotes better absorption.

Wait 60 seconds between each puff: Waiting between puffs allows time for the medication to take effect and ensures that the next dose will be more effective.

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Correct Answer is D

Explanation

A. Hypertension can be a symptom of many conditions and is not specific to HHS.

B. Fruity breath is typically associated with diabetic ketoacidosis (DKA) due to the presence of acetone, not HHS.

C. Ketosis is a key feature of DKA, not HHS. In HHS, ketosis is usually absent or minimal.

D. A glucose level of 650 mg/dL is indicative of HHS, which is characterized by extremely high blood glucose levels without significant ketosis. HHS often occurs in type

A. Provide a low sodium diet. B. Restrict fluid intake to 1,000 ml, per day. C. Administer desmopressin acetate. D. Maintain an IV of 0.45% sodium chloride.

Correct Answer is B

Explanation

A. A low sodium diet is not appropriate for a client with SIADH and hyponatremia, as it can exacerbate the low sodium levels. Increasing sodium intake might be more appropriate depending on the clinical situation.

B. Restricting fluid intake is a standard treatment for SIADH to prevent further dilution of sodium in the blood, which is critical in managing hyponatremia.

C. Desmopressin acetate is used to treat conditions with insufficient antidiuretic hormone, such as diabetes insipidus, and is not appropriate for SIADH.

D. An IV of 0.45% sodium chloride is hypotonic and could worsen hyponatremia in SIADH. Hypertonic saline would be more appropriate if IV treatment were necessary.

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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 into the box on the right, placing them in the selected order of performance. Use all steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has type 2 diabetes mellitus and notes the client is declining. Which of the following would indicate the client is in a hyperosmolar hyperglycemic state (HHS)?

Correct Answer is D

Explanation

A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following prescriptions should the nurse anticipate?

Correct Answer is B

Explanation

A nurse is preparing a teaching session about reducing the risk of complications of diabetes mellitus. Which of the following information should the nurse plan to include in the teaching? (Select all that apply.)

A nurse is monitoring a client following a thoracentesis. The nurse should identify which of the following manifestations as a complication and contact the provider immediately?

A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?

A nurse is assessing a client who is receiving liothyronine for treatment of hypothyroidism. The nurse should recognize which of the following findings is a therapeutic response to this medication?

A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?

A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?

A nurse is teaching a client who has diabetes mellitus and a new prescription for glimepiride. The nurse should teach the client to avoid which of the following drinks while taking this medication?

A nurse is preparing a client for a kidney biopsy. Which of the following client conditions should the nurse identify as a contraindication for this diagnostic test?