An asthmatic patient has right-sided paralysis caused by a stroke 3 years ago. The prescriber orders an inhaler. Which type of inhaled device would the nurse expect to be ordered for this patient?
a. Inhaler without a spacer
b. Dry-powder inhaler
c. Glucocorticoid
d. Nebulizer
ANS: B
Dry powder inhalers are breath activated and do not require the hand-lung coordination needed with MDIs. They would be easier for a patient with hemiparesis to use.
Use of an MDI requires hand-lung coordination and would not be the best choice for a patient with hemiparesis.
A glucocorticoid is not necessarily an inhaled device.
A nebulizer must be set up and would be more difficult for a patient with hemiparesis.
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