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 A
Explanation
A. Daily examination monitors for any worsening that requires the attention of the provider
B. citric causes irritation and exacerbation of stomatitis
C. Black tarry stools are a sigh of upper gastrointestinal bleeding and not stomatitis
D. Aspirin is an antiplatelet that could cause bleeding
Correct Answer is D
Explanation
aminoglycosides are excreted in the kidney and accumulation may lead to renal tubular necrosis
A, B, C are not effects of aminoglycosides
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