The student nurse is administering medications to their assigned clients for the day. The student nurse notices they have a steroid inhaler scheduled to be given. What is true about inhaled steroid medications?

The client can decide when they want to quit using an inhaler.

The client should rinse their mouth between uses to avoid candida.

There are no special considerations for inhaled mediations.

These medications never cause any changes in vital signs.

Answer and Explanation

The Correct Answer is B

A. The client can decide when they want to quit using an inhaler: Decisions about stopping controller or maintenance inhaled medications should be made in consultation with the healthcare provider because abrupt cessation may worsen respiratory control.

B. The client should rinse their mouth between uses to avoid candida: Rinsing the mouth and spitting after using inhaled corticosteroids reduces residual medication in the oropharynx and lowers the risk of oral candidiasis and hoarseness.

C. There are no special considerations for inhaled medications: Inhaled meds require proper technique (e.g., spacer use), timing, and post-use mouth care; these considerations affect efficacy and side-effect risk.

D. These medications never cause any changes in vital signs: While inhaled corticosteroids are primarily local, some inhaled agents (especially bronchodilators) can affect heart rate and blood pressure, and high systemic steroid exposure can have systemic effects.

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Correct Answer is C

Explanation

A. Stage I Pressure Ulcer: Characterized by intact skin with nonblanchable erythema (redness) only; there is no open wound or partial-thickness skin loss.

B. Stage IV Pressure Ulcer: Involves full-thickness tissue loss with exposed bone, tendon, or muscle and often deep tunneling -the pictured lesion does not show exposed deeper structures.

C. Stage II Pressure Ulcer: Presents as partial-thickness skin loss involving the epidermis and possibly superficial dermis, appearing as a shallow open ulcer with a red/pink wound bed without slough -this description matches the pictured shallow, red wound.

D. Unstageable: Occurs when full-thickness skin and tissue loss is present but the base is obscured by slough or eschar, making depth indeterminate; the wound bed in the photo is visible and not covered by slough.

A. "I can give the IM injection 2 inches from the umbilicus." B. "I will utilize the Z-track method for all IM injections." C. "I will administer the IM injection at a 90-degree angle." D. "I will administer the vaccine in the client's deltoid because it is less than 1 mL in volume."

Correct Answer is A

Explanation

A. "I can give the IM injection 2 inches from the umbilicus.": The abdominal area (around the umbilicus) is a common site for subcutaneous injections, not intramuscular ones; IM injections for vaccines should be placed into an appropriate muscle (e.g., deltoid, ventrogluteal, vastus lateralis), so this location is not appropriate for an IM vaccine.

B. "I will utilize the Z-track method for all IM injections.": The Z-track technique is recommended for certain irritating or staining medications to prevent tracking into subcutaneous tissue, but it is not necessary for routine IM vaccines; using it universally is unnecessary and may complicate simple vaccine administration.

C. "I will administer the IM injection at a 90 degree angle.": Intramuscular injections are given at a 90° angle to ensure the needle reaches muscle tissue; this statement reflects proper technique for IM delivery.

D. "I will administer the vaccine in the client's deltoid because it is less than 1 mL in volume.": The deltoid is an appropriate IM site for adult vaccinations when the volume is small (usually ≤1 mL) and muscle mass is adequate, so this statement aligns with usual vaccine-site selection.

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The student nurse is administering medications to their assigned clients for the day. The student nurse notices they have a steroid inhaler scheduled to be given. What is true about inhaled steroid medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Stage the following:

Correct Answer is C

Explanation

The nursing student is administering an IM influenza vaccine. The nurse preceptor knows to intervene when the nursing student makes which of the following statements?

Correct Answer is A

Explanation

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