The patient is ordered a nasal spray. Which intervention should the nurse instruct the patient to do prior to administration of the nasal spray?

Ask the patient to use the bathroom

Instruct the patient to look up at the ceiling

Ask the patient to take a deep breath

Ask the patient to blow his/her nose to clear the nasal passages

Answer and Explanation

The Correct Answer is D

A. Asking the patient to use the bathroom is unrelated to the administration of nasal spray and is not necessary.
B. Instructing the patient to look up at the ceiling is not required for nasal spray administration and does not facilitate the process.
C. Asking the patient to take a deep breath is not directly related to the administration of nasal spray and does not affect its effectiveness.
D. Asking the patient to blow his/her nose to clear the nasal passages is important before administering nasal spray. Clearing nasal passages helps ensure that the medication can reach the nasal mucosa effectively, improving absorption and efficacy of the spray.

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Correct Answer is C

Explanation

A. Decreased temperature is a symptom of hypothyroidism, not hyperthyroidism which would indicate an overdose of levothyroxine.
B. Weight gain is more commonly associated with hypothyroidism, not hyperthyroidism caused by an overdose of levothyroxine.
C. Tachycardia (rapid heart rate) is a classic sign of hyperthyroidism, which can occur if the client's dose of levothyroxine is too high.
D. Bradypnea (slow breathing) is not typically associated with thyroid hormone overdosage.

A. Answer: 2 tablets B. Rationale: C. To administer the correct dose of clonidine, which is 0.2 mg, and given that each tablet contains 0.1 mg of clonidine, the nurse would need to administer two tablets. This is because 0.2 mg divided by 0.1 mg per tablet equals 2 tablets. D. 2. A nurse is reinforcing teaching with the parents of a child who is starting to use a spacer with a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching? E. Inhale rapidly when using the spacer with the MDI.

Correct Answer is B

Explanation

A. Inhaling rapidly with the spacer can lead to improper medication delivery, potentially reducing the effectiveness of the treatment.
B. The spacer does indeed increase the amount of medication reaching the lungs by reducing deposition in the mouth and throat, enhancing the therapeutic effect of the MDI.
C. Covering the exhalation slots of the spacer can interfere with proper inhalation technique, impacting medication delivery to the lungs.
D. The spacer is designed to minimize medication deposition in the oropharynx, optimizing delivery to the lungs for better therapeutic outcomes.

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The patient is ordered a nasal spray. Which intervention should the nurse instruct the patient to do prior to administration of the nasal spray?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking levothyroxine for hypothyroidism. Which of the following indicates the client's dose is too high?

Correct Answer is C

Explanation

A nurse is preparing to administer clonidine 0.2 mg PO. The amount available is clonidine 0.1 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is B

Explanation

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