A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?
"I will hold the inhaler with my non-dominant hand."
"I will tilt my head forward while inhaling the medication."
"I will hold my breath at least 10 seconds after inhaling the medication."
"I will wait 10 min between each inhalation.
The Correct Answer is C
A. "I will hold the inhaler with my non-dominant hand.": The hand used to hold the inhaler is not as important as the technique for inhaling the medication.
B. "I will tilt my head forward while inhaling the medication.": The head should be in a neutral or slightly tilted back position to ensure proper inhalation of the medication.
C. "I will hold my breath at least 10 seconds after inhaling the medication." Holding the breath for at least 10 seconds allows the medication to be deposited more effectively in the airways, increasing its therapeutic effect.
D. "I will wait 10 min between each inhalation.": The correct time to wait between puffs is usually about 1-2 minutes, not 10 minutes.
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Correct Answer is C
Explanation
A. Provide prophylactic antibiotics for clients who have been exposed to influenza: Antibiotics are not effective against viral infections like influenza. Antiviral medications may be used for prophylaxis in exposed individuals.
B. Assign health care personnel to non-direct care activities for 24 hr after developing influenza symptoms: Healthcare personnel should not provide care while symptomatic. The recommended restriction period is typically longer than 24 hours.
C. Place restrictions on visitation. During an influenza outbreak, limiting visitation can reduce the spread of infection, especially in vulnerable populations like those in long-term care facilities.
D. Implement airborne precautions for clients who have influenza: Influenza is spread through droplets, not airborne particles. Droplet precautions are appropriate.
Correct Answer is D
Explanation
A. "I will seal my lips around the mouthpiece and take slow, deep breaths.": This is a correct technique for nebulizer use, ensuring proper delivery of the medication.
B. "I should wash the mouthpiece with warm, soapy water each day.": Proper cleaning of the mouthpiece daily is recommended to prevent infection and maintain hygiene.
C. "I will store my nebulizer at room temperature.": Storing the nebulizer at room temperature is appropriate to ensure its functionality.
D. "I should keep medication in my nebulizer at all times." Nebulizer medication should not be left in the device when it is not in use. Leaving medication in the nebulizer can lead to contamination or improper dosing. The medication should be added only before each treatment.