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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 B

Explanation

Choice A rationale

Placing the client into a right lateral position is not the standard position for administering an enema. The left lateral (Sims') position is commonly used as it facilitates the flow of the

solution into the colon.

Choice B rationale

Warming the enema solution to room temperature helps ensure the client's comfort and can prevent cramping and discomfort. Cold solutions can cause discomfort and cramping,

making the procedure less tolerable for the client.

Choice C rationale

Sterile technique is not required for administering an enema. Clean technique is generally sufficient unless otherwise indicated by the client’s condition or specific medical orders.

Choice D rationale

Lubricating the tubing is essential to ensure smooth insertion and prevent trauma to the rectal mucosa, but an oil-based lubricant is not typically used as it can interfere with the

absorption of the enema solution. Water-soluble lubricants are preferred.

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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