When evaluating a client's use of a metered-dose inhaler (MDI), the nurse notes that the client is unable to coordinate the activation of the inhaler with her breathing. What intervention is most appropriate at this time?
Obtain an order for a spacer device.
Notify the prescriber that the client is unable to use the MDI.
Ask the prescriber if the medication can be given orally.
Obtain an order for a peak flow meter.
The Correct Answer is A
Rationale- A spacer connects the MDI and the mouth containing any medication exhaled eliminating the need for the coordination
B. Notifying the provider does not solve the client’s need
C. Inhalers are delivered directly into the airway and are not taken orally
D. A peak flow meter is used to measure peak flow but not for drug delivery

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Lithium reduces the concentration of urine leading to sodium and water loss
Other options not directly related to lithium use
Correct Answer is D
Explanation
Disulfiram blocks the metabolism of alcohol leading to unpleasant effects such as flushing, apprehension, headache, nausea and vomiting
A. Alcohol containing substances will cause the unpleasant effect when consumed
B. Disulfiram prevent metabolism of alcohol and hence has no similar effects to alcohol
C. When taken with warfarin, it increases the risk of bleeding
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