Which patient using an inhaler would benefit most from using a spacer?

A 50-year-old with hearing impairment who uses a hearing aid

A 72-year-old with COPD using a dry powder inhaler

A 25-year-old with limited coordination of the extremities

A 15-year-old with a repaired cleft palate who is alert

Answer and Explanation

The Correct Answer is C

Choice A reason: Hearing impairment affects communication, not inhaler technique. Spacers aid coordination, not auditory issues, making them less beneficial for this patient, as proper instruction can address hearing-related challenges.

Choice B reason: Dry powder inhalers require strong inhalation, not typically aided by spacers, which are designed for metered-dose inhalers. COPD patients may benefit, but coordination issues are more critical, making this less applicable.

Choice C reason: A 25-year-old with limited extremity coordination struggles with synchronizing inhalation and actuation in metered-dose inhalers. Spacers simplify delivery, ensuring effective medication deposition, making this the patient who benefits most.

Choice D reason: A repaired cleft palate may affect oral anatomy, but alertness suggests adequate inhalation ability. Spacers are less critical than for coordination issues, making this patient less likely to benefit most.

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Correct Answer is B

Explanation

Choice A reason: Bananas are high in potassium, contraindicated for a low-potassium diet. They can elevate serum potassium, risking hyperkalemia, making this an incorrect choice for the diet plan.

Choice B reason: White rice is low in potassium, making it suitable for a low-potassium diet. It provides carbohydrates without significantly affecting potassium levels, making it the correct food to include.

Choice C reason: Spinach is high in potassium, inappropriate for a low-potassium diet. Consuming it could exacerbate hyperkalemia, making this incorrect for a patient requiring potassium restriction.

Choice D reason: Potatoes are high in potassium, unsuitable for a low-potassium diet. They increase potassium intake, risking imbalance, making this an incorrect choice for the client’s dietary plan.

A. Sore throat B. Hoarseness C. Neck swelling D. Mild pain at incision

Correct Answer is C

Explanation

Choice A reason: A sore throat is common post-thyroidectomy due to intubation but is not life-threatening. Neck swelling may indicate a hematoma, a more urgent issue, making this less priority.

Choice B reason: Hoarseness may result from recurrent laryngeal nerve irritation, a concern, but is less immediate than swelling, which risks airway compromise. This makes hoarseness a secondary finding.

Choice C reason: Neck swelling is the priority, as it may indicate a hematoma or bleeding, potentially compressing the airway. This life-threatening complication requires immediate intervention, making it the correct choice.

Choice D reason: Mild incision pain is expected post-surgery and manageable with analgesics. Swelling poses a greater risk of airway obstruction, making pain a lower priority finding.

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Which patient using an inhaler would benefit most from using a spacer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for a low-potassium diet. Which of the following foods should be included in the diet plan?

Correct Answer is B

Explanation

A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following findings should the nurse identify as priority?

Correct Answer is C

Explanation

A nurse is preparing to administer an intramuscular injection to a client. Which of the following actions should the nurse take?

A nurse is caring for a client who has a prescription for a potassium supplement. The nurse should monitor the client for which of the following adverse effects?

A nurse is teaching a client who has a new prescription for a transdermal nitroglycerin patch. Which of the following instructions should the nurse include?

The nurse is caring for a newly admitted patient with urinary incontinence and impaired mobility. Which finding will the nurse expect?

The nurse is caring for a patient in the sleep lab. Which assessment finding indicates to the nurse that the patient is in stage 3 NREM?

The nurse is assessing a patient with obstructive sleep apnea. Which assessment is the priority?

A nurse is preparing to administer a unit of packed red blood cells to a client. Which of the following actions should the nurse take?

The nurse is administering Ibuprofen (Advil) to an older patient. Which assessment data causes the nurse to hold the medication?