A nurse is providing discharge instructions for a patient who is to use an adrenergic bronchodilator metered dose inhaler (MDI). Which of the following would be included in the teaching?
a. "Take two puffs whenever you feel wheezy but no more than six puffs per day."
b. "Avoid using the MDI at night."
c. "Take one puff every 5 minutes until your symptoms are relieved."
d. "Using the MDI more often than prescribed can result in worsening symptoms."
ANS: D
Adrenergic bronchodilators, when used too often, can cause severe rebound bronchoconstriction and even death. Using as needed may be too frequent, and every 5 minutes is not appropriate. MDIs are used at night to prevent nighttime symptoms.
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After falling at home, a patient is admitted to the emergency department, where x-rays confirm the presence of an extracapsular fracture of the femur. When assessing the patient, the nurse would expect to find
a. bruising of the left hip and thigh. b. numbness in the left leg and hip. c. outward pointing toes on the left leg. d. weak or nonpalpable left leg pulses.