When evaluating a patient's use of a
metered-dose inhaler (MDI), the nurse notes that the patient is unable to coordinate the activation of the inhaler with her breathing. What intervention is most appropriate at this time?
a. Notify the doctor that the patient is unable to use the MDI.
b. Obtain an order for a peak flow meter.
c. Obtain an order for a spacer device.
d. Ask the prescriber if the medication can be given orally.
ANS: C
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The nurse is asking an adolescent about illicit substance abuse. The adolescent answers, "Yes, I've used marijuana at parties with my friends." What is the next question the nurse should ask?
a. "Who are these friends?" b. "Do your parents know about this?" c. "When was the last time you used marijuana?" d. "Is this a regular habit?"
A 76-year-old patient is hospitalized with pneumonia and has become increasingly confused throughout the shift. The nurse becomes concerned about the patient's condition and contacts the health care provider, who orders arterial blood gas analysis
The blood gas report shows a pH of 7.33, PaCO2 of 47, PaO2 of 78, and bicarbonate of 26 . This indicates which imbalance? a. Respiratory alkalosis b. Respiratory acidosis c. Metabolic alkalosis d. Metabolic acidosis
A child is diagnosed with cryptosporidiosis, and the prescriber orders nitazoxanide [Alinia]. While preparing the child's parents to administer this drug, the nurse will:
a. determine whether the child is taking im-munosuppressant medications. b. instruct the family to have the child take the drug on an empty stomach. c. teach the parents that yellow discoloration of the sclerae represents a serious side ef-fect. d. tell the parents that headache, dry mouth, and a metallic taste are common.
What is a notable complication of panic disorder?
a. Avolition b. Anhedonia c. Alogia d. Agoraphobia