Nokea
The teaching plan for the use of a dry powder inhaler for the treatment of asthma should include the warning to rinse the mouth after inhaling the powder. What does this prevent?
- A. Discoloration of tooth enamel
- B. Halitosis
- C. Irritation of oral membranes
- D. Candidiasis
Correct Answer: D
Rationale: Inhalant powders can cause candidiasis (yeast) infection of the mouth.
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How would the nurse advise a mother to clear the nostrils when her infant has a cold?
- A. Clear the nasal passages after the infant has a feeding.
- B. Use over-the-counter nose drops to clear passages.
- C. Remove nasal secretions with a bulb syringe.
- D. Instill saline nose drops after clearing away secretions.
Correct Answer: C
Rationale: The nasal passages can be cleared by instilling a few drops of saline into the nose and then suctioning the secretions with a bulb syringe.
The nurse reports which assessments that suggest a meconium ileus in a newborn? (Select all that apply.)
- A. Abdominal distention
- B. Vomiting
- C. Hiccoughing
- D. Jaundice
- E. Absence of stool
Correct Answer: A,B,E
Rationale: Distended abdomen, vomiting, and absence of stool are the signs indicating meconium ileus in the newborn.
The school nurse suspects a first-grade student has sinusitis. Which symptoms might lead the nurse to this suspicion? (Select all that apply.)
- A. Child reports tooth pain.
- B. Severe wheezing is auscultated on inspiration.
- C. Child reports, 'I have had a cold for 2 weeks.'
- D. Nurse observes periorbital swelling.
- E. Halitosis is present.
Correct Answer: A,C,D,E
Rationale: The proximity of the sinus to the tooth roots often results in tooth pain when the sinus is infected.
What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients?
- A. Pancreatic enzymes
- B. Water-soluble minerals
- C. Fat-soluble vitamins
- D. Salt supplements
Correct Answer: A
Rationale: An oral pancreatic enzyme is given to the child with every meal and with snacks to replace the pancreatic enzymes that the child's body cannot produce.
What would the nurse teaching an asthmatic child the technique of pursed-lip breathing include? (Select all that apply.)
- A. Inhale deeply through nose with mouth closed.
- B. Make exhalation twice as long as inhalation.
- C. Use medicated inhaler prior to perform breathing exercise.
- D. Exhale through mouth as if whistling.
- E. Exhale forcefully.
Correct Answer: A,B,D
Rationale: The technique requires that breath be inhaled through the nose and exhaled through pursed lips in a nonforceful manner.