Nokea
A client has a new prescription for a metered-dose inhaler. Which of the following instructions should the nurse include?
- A. Inhale quickly and deeply while pressing down on the inhaler.
- B. Hold your breath for 10 seconds after inhaling the medication.
- C. Exhale immediately after inhaling the medication.
- D. Shake the inhaler before each use.
Correct Answer: B
Rationale: The correct instruction for using a metered-dose inhaler is to hold your breath for 10 seconds after inhaling the medication. This allows the medication to be absorbed more effectively in the lungs. Inhaling quickly and deeply while pressing down on the inhaler (Choice A) may cause the medication to deposit in the mouth and throat rather than reaching the lungs. Exhaling immediately after inhaling the medication (Choice C) may also lead to medication wastage. Shaking the inhaler before each use (Choice D) is not necessary for all types of inhalers and can sometimes cause improper drug delivery.
You may also like to solve these questions
A nurse educator is conducting a parenting class for new guardians of infants. Which of the following statements made by a participant indicated understanding?
- A. "I will set my water heater at 130°F."
- B. "Once my baby can sit up, they should be safe in the bathtub."
- C. "I will place my baby on their stomach to sleep."
- D. "Once my infant starts to push up, I will remove the mobile from over the crib."
Correct Answer: D
Rationale: The correct answer is D. Removing the mobile when the baby starts to push up prevents choking hazards as infants can reach and grab objects posing a risk of choking. Choice A is unsafe as setting the water heater at 130°F can scald a child. Choice B is incorrect because even when a baby can sit up, they still require close supervision in the bathtub. Choice C is unsafe as current guidelines recommend placing babies on their backs to sleep to reduce the risk of sudden infant death syndrome (SIDS). Therefore, choices A, B, and C are incorrect or unsafe practices for infant care.
The healthcare provider is assessing a client diagnosed with rheumatoid arthritis. Which assessment finding would be most concerning?
- A. Morning stiffness
- B. Joint deformities
- C. Weight loss
- D. Fever
Correct Answer: D
Rationale: Fever in a client with rheumatoid arthritis can indicate an underlying infection or a more serious systemic involvement, such as vasculitis or inflammation of internal organs. These conditions can lead to serious complications and require immediate medical attention. Joint deformities and morning stiffness are common manifestations of rheumatoid arthritis itself and may not be indicative of an acute issue. Weight loss can be seen in chronic inflammatory conditions like rheumatoid arthritis but is not as concerning as fever, which suggests an acute process requiring prompt evaluation and intervention.
Which task can the RN delegate to an unlicensed assistive personnel (UAP)?
- A. Take a history on a newly admitted client
- B. Adjust the rate of a gastric tube feeding
- C. Check the blood pressure of a 2-hour postoperative client
- D. Check on a client receiving chemotherapy
Correct Answer: C
Rationale: The correct answer is C. Checking the blood pressure of a 2-hour postoperative client is a task that can be safely delegated to an unlicensed assistive personnel (UAP) as it falls within their scope of practice. This task is routine and does not require specialized nursing knowledge or critical decision-making. Options A, B, and D involve tasks that require a higher level of training and critical thinking beyond the scope of a UAP. Taking a history, adjusting tube feeding rates, and monitoring a client receiving chemotherapy are responsibilities that should be performed by licensed healthcare providers who have the necessary skills and training.
During an initial history and physical assessment of a 3-month-old brought into the clinic for spitting up and excessive gas, what would the nurse expect to find?
- A. Increased temperature and lethargy
- B. Restlessness and increased mucus production
- C. Increased sleeping and listlessness
- D. Diarrhea and poor skin turgor
Correct Answer: B
Rationale: Restlessness and increased mucus production are common signs of gastrointestinal issues or reflux in infants, which could explain the symptoms of spitting up and excessive gas. Increased temperature and lethargy (Choice A) are more indicative of an infection rather than gastrointestinal issues. Increased sleeping and listlessness (Choice C) are not typical signs associated with the symptoms described. Diarrhea and poor skin turgor (Choice D) are not directly related to the symptoms of spitting up and gas in this scenario.
When should discharge planning be initiated for a client experiencing an exacerbation of heart failure?
- A. During the admission process.
- B. After the client stabilizes.
- C. Only after the client requests it.
- D. At the time of discharge.
Correct Answer: A
Rationale: Discharge planning should begin during the admission process for a client experiencing an exacerbation of heart failure. Initiating discharge planning early ensures timely and effective care transitions, which are crucial for managing the client's condition and preventing readmissions. Waiting until after the client stabilizes (choice B) could lead to delays in arranging necessary follow-up care and support services. Similarly, waiting for the client to request discharge planning (choice C) may result in missed opportunities for comprehensive care coordination. Planning at the time of discharge (choice D) is too late, as early intervention is key to promoting the client's well-being and recovery in the long term.