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A nurse is preparing to administer a metered dose inhaler (MDI) medication to a client.
Which of the following actions should the nurse take?

A.

Ask the client to hold their breath for 2 seconds after inhalation.

B.

Wash the MDI canister in warm water after each use.

C.

Ask the client to inhale the medication quickly for 1 second.

D.

Shake the MDI prior to administration.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Clients should be instructed to hold their breath for about 10 seconds after inhalation, not 2 seconds. This allows the medication to reach deeper into the lungs.

 

Choice B rationale

The MDI canister should not be washed after each use. Instead, it should be cleaned regularly to ensure proper functioning and avoid medication buildup.

 

Choice C rationale

Clients should be instructed to inhale the medication slowly and deeply over a few seconds, rather than quickly for 1 second. This ensures proper delivery of the medication to the lungs.

 

Choice D rationale

Shaking the MDI prior to administration is essential. This action mixes the medication evenly, ensuring that the correct dose is delivered with each puff.


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View Related questions

Correct Answer is D

Explanation

Choice A rationale

Hypothermia is not commonly associated with diarrhea. Diarrhea typically leads to fluid loss and dehydration rather than changes in body temperature.

Choice B rationale

A rigid abdomen is not a typical finding for diarrhea. It may indicate other gastrointestinal issues, such as peritonitis, rather than dehydration caused by diarrhea.

Choice C rationale

Decreased bowel sounds are not typically expected with diarrhea, which often presents with increased bowel sounds due to increased motility.

Choice D rationale

Dehydration is a common finding in clients with diarrhea due to the excessive loss of fluids and electrolytes from frequent, loose stools. It can lead to symptoms such as dry mouth, reduced urine output, and dizziness.

Correct Answer is C

Explanation

Choice A rationale

The end of the stoma is typically not painful after the procedure. Pain at the stoma site could indicate complications such as infection or ischemia.

Choice B rationale

A healthy stoma should be pink or red in color. A purple color could indicate compromised blood flow or other complications that require medical attention.

Choice C rationale

The stoma is typically placed in the right lower abdomen to allow for easier management and care, as it is usually associated with the terminal ileum.

Choice D rationale

After an ileostomy, the stool is usually liquid to semi-formed, not solid, because the colon, which absorbs water to solidify stool, is bypassed.

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