The nurse is teaching a client how to use an inhaler device. Which client statement indicates to the nurse that the client understands the instructions?

The inhaler will be used before bed each night.

Rinsing the mouth with water should be done after each use.

Caffeinated beverages should be limited to two cups per day.

To mask taste of the medication, inhaler can be used during meals.

Answer and Explanation

The Correct Answer is B

A. The inhaler will be used before bed each night:
The timing of inhaler use depends on the type of medication (e.g., rescue vs. maintenance) and individual needs, not a fixed schedule like before bed. Proper use instructions usually specify whether it’s for acute symptoms or regular daily use.

B. Rinsing the mouth with water should be done after each use:
This is an important practice for inhaled corticosteroids to help prevent oral thrush and minimize side effects. It ensures that any residual medication is removed from the mouth.

C. Caffeinated beverages should be limited to two cups per day:
While caffeine may have interactions with certain medications, it is not specifically related to the use of inhalers. Therefore, this statement is less relevant to the immediate use of the inhaler.

D. To mask the taste of the medication, inhaler can be used during meals:
Using an inhaler during meals is not advised. It is important to use the inhaler as directed, typically separate from meals, to ensure proper inhalation and effectiveness of the medication.

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Correct Answer is C

Explanation

A. Hemoglobin level of 13.5 g/dL (135 g/L):
Sodium polystyrene sulfonate is used to manage hyperkalemia, not to affect hemoglobin levels. While a hemoglobin level of 13.5 g/dL is within the normal range, it does not indicate the effectiveness of sodium polystyrene sulfonate.

B. Serum ammonia level of 30 μg/dL (17.62 μmol/dL):
Sodium polystyrene sulfonate is not used to manage ammonia levels; it is used to lower elevated potassium levels. Thus, a serum ammonia level of 30 μg/dL does not reflect the effectiveness of the medication.

C. Serum potassium level of 3.8 mEq/L (3.8 mmol/L):
Sodium polystyrene sulfonate is specifically used to treat hyperkalemia (high potassium levels). A serum potassium level of 3.8 mEq/L is within the normal range, indicating that the medication has effectively reduced elevated potassium levels.

D. Serum glucose level of 120 mg/dL (6.7 mmol/L):
Sodium polystyrene sulfonate does not affect glucose levels. A glucose level of 120 mg/dL is slightly elevated but unrelated to the effectiveness of the potassium-lowering medication.

A. Hematocrit 42% (0.42 volume fraction). B. Hemoglobin 13 g/dL (8.07 mmol/L). C. Positive guaiac of stool. D. Gastric pH 2.0.

Correct Answer is C

Explanation

A. Hematocrit 42% (0.42 volume fraction):
A hematocrit of 42% is within the normal reference range for males (42% to 52%). While it is important to monitor hematocrit levels, this finding alone does not indicate an immediate issue.

B. Hemoglobin 13 g/dL (8.07 mmol/L):
A hemoglobin level of 13 g/dL is slightly below the normal range for males (14 to 18 g/dL). However, it is not critically low and may not require immediate intervention without additional context or symptoms.

C. Positive guaiac of stool:
A positive guaiac test for stool indicates the presence of occult blood in the stool, which could suggest gastrointestinal bleeding. Given the client's history of heartburn, indigestion, and use of ibuprofen (a nonsteroidal anti-inflammatory drug that can cause gastrointestinal bleeding), this finding is concerning and should be reported immediately to the healthcare provider for further evaluation and management.

D. Gastric pH 2.0:
A gastric pH of 2.0 is within the normal range for gastric acid, as the normal pH of gastric acid typically ranges from 1.5 to 3.5. This finding is expected and does not indicate an immediate problem related to the client's symptoms.

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The nurse is teaching a client how to use an inhaler device. Which client statement indicates to the nurse that the client understands the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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