A nurse is teaching the parents of a child who is to start using a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?
"The spacer increases the amount of medication delivered to the oropharynx."
"The spacer increases the amount of medication delivered to the lungs."
"Inhale rapidly using the spacer with the MDI."
"Cover exhalation slots of the spacer with lips when inhaling."
The Correct Answer is B
A. This statement is incorrect; the spacer does not primarily increase medication delivery to the oropharynx.
B. The spacer helps to increase the amount of medication that reaches the lungs by allowing larger particles to settle out and preventing them from being deposited in the mouth and throat.
C. Inhaling slowly and deeply is recommended for effective medication delivery when using an MDI with a spacer.
D. Covering the exhalation slots would prevent proper airflow and could cause the child to inhale exhaled air, which is not recommended during inhalation.
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Correct Answer is C
Explanation
A. Montelukast is a leukotriene receptor antagonist used for long-term management and prevention of asthma symptoms, not for acute relief.
B. Budesonide is an inhaled corticosteroid used for long-term control of asthma but does not provide immediate relief during an acute attack.
C. Albuterol is a short-acting beta-agonist (SABA) that provides rapid bronchodilation and is the first-line medication for relieving acute asthma symptoms.
D. Fluticasone is also an inhaled corticosteroid intended for long-term management, which does not address the immediate needs of an acute asthma attack.
Correct Answer is B
Explanation
A. Supraventricular tachycardia (SVT) typically has identifiable P waves; the absence of P waves suggests a different condition.
B. Atrial fibrillation is characterized by an irregular rhythm, inability to identify P waves, and varying intervals. This interpretation aligns with the client's ECG findings.
C. Sinus bradycardia would show identifiable P waves and a regular rhythm with a heart rate less than 60 bpm, which does not match the provided information.
D. First-degree heart block would also show identifiable P waves and regularity in the rhythm with a prolonged PR interval, which is not indicated here.