You are providing education to newly diagnosed asthma client on metered-dose inhaler use. Which statement by the client would indicate the need for additional education?

I will wash the inhaler once a week with running warm water."

I will administer the second puff 1 minute following the first puff."

I will rinse my mouth with water mouthwash after inhaler use

I will take slow deep breath while activating the inhaler."

Answer and Explanation

The Correct Answer is D

A) "I will wash the inhaler once a week with running warm water.": This statement is accurate. It is important to wash the inhaler, especially the mouthpiece, at least once a week to prevent the build-up of medication residue and ensure proper function. The recommendation of using warm water is appropriate, and washing weekly is commonly advised by healthcare providers.

B) "I will administer the second puff 1 minute following the first puff.": This is correct. When using a metered-dose inhaler, it is recommended to wait about 1 minute between puffs to allow the medication to be inhaled properly and for the first dose to be fully delivered before administering the second dose. This ensures that each dose is effective.

C) "I will rinse my mouth with water or mouthwash after inhaler use.": This is a correct statement, particularly for inhaled corticosteroids. Rinsing the mouth after using an inhaler helps prevent the development of oral thrush and other side effects such as irritation or infection. It’s also a good habit to remove any leftover medication from the mouth.

D) "I will take slow deep breaths while activating the inhaler.": This statement indicates the need for additional education. The correct technique involves inhaling slowly and deeply after activating the inhaler, not while activating it. If the client exhales forcefully while pressing the inhaler, they may not be able to inhale the medication effectively. It is crucial that the client activates the inhaler and then takes a slow, deep breath to ensure the medication is delivered properly into the lungs.

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Correct Answer is ["20"]

Explanation

1. Determine the concentration of the guaifenesin:

The label states 100 mg/5 mL.

2. Set up a proportion to find the volume (in mL) needed:

100 mg / 5 mL = 400 mg / x mL

3. Solve for x:

Cross-multiply: 100x = 400 * 5

100x = 2000

x = 2000 / 100

x = 20 mL

Answer: The nurse will administer 20 mL to the client.

A. Opioid drugs are highly addictive, and the healthcare provider concerned you will become addicted. B. Morphine highly bound to protein in your blood and you are at risk for toxicity due to surgery. C. "Morphine taken by mouth pass through the liver and some of the medication is made inactive." D. The healthcare provider is cautious with opioids and starts low adjusts the dose up as needed.

Correct Answer is C

Explanation

A) Opioid drugs are highly addictive, and the healthcare provider is concerned you will become addicted: While it is true that opioids have the potential for addiction, this response does not address the actual reason for the difference in morphine dosages. The provider's decision is likely based on the pharmacokinetics of the drug rather than a concern about addiction. This response could create unnecessary concern for the client and does not explain the dose discrepancy.

B) Morphine is highly bound to protein in your blood, and you are at risk for toxicity due to surgery: While morphine is protein-bound, the primary reason for the difference in the intravenous (IV) dose is not related to protein binding. The main difference is related to the route of administration and how the body processes the drug. The nurse should provide a more accurate explanation regarding the absorption and metabolism of morphine rather than focusing on protein binding or potential toxicity.

C) "Morphine taken by mouth passes through the liver, and some of the medication is made inactive": This is the best response. When morphine is taken orally, it is absorbed into the bloodstream and passes through the liver before reaching systemic circulation, a process known as the "first-pass effect." During this process, a portion of the drug is metabolized and rendered inactive, meaning that a higher oral dose is required to achieve the desired effect. When morphine is administered intravenously, it bypasses the liver and directly enters the bloodstream, leading to a more immediate and potent effect, which is why a lower dose is needed.

D) "The healthcare provider is cautious with opioids and starts low and adjusts the dose up as needed": While this is a valid approach to opioid prescribing, it doesn't fully explain why the client is receiving a smaller dose intravenously. The reason for the dose difference is based on the route of administration and the pharmacokinetic properties of the drug, not just a general cautious approach. This answer doesn't provide a clear explanation of why the IV dose is smaller.

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You are providing education to newly diagnosed asthma client on metered-dose inhaler use. Which statement by the client would indicate the need for additional education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The prescription reads for guaifenesin 400 mg PO every 4 hours as needed for congestion. Using the label below, how many mL will the nurse administer to the client? Enter a numeric value only. Answer to the nearest whole mL.

Correct Answer is ["20"]

Explanation

The healthcare provider has ordered 5 mg morphine intravenously for pain control. At home, the client takes 30mg of morphine sulfate by mouth twice daily. The client asks the nurse why they are receiving such a small dose. What is the best response by the nurse?

Correct Answer is C

Explanation

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