The nurse is teaching the client to use a metered-dose inhaler. Which information will the nurse provide to the client?
1. Take a deep breath, hold it, and then gently squeeze the inhaler to dispense the medication.
2. Take several slow deep breaths in through the nose and out through the mouth, then squeeze the inhaler while taking a deep breath.
3. Exhale comfortably, squeeze the cannister to discharge the medication, and inhale slowly and deeply through the mouth, then hold the breath for 10 seconds, or as long as possible.
4. Exhale deeply, squeeze the cannister to discharge the medication, and inhale slowly and deeply through the mouth, then hold the breath for 10 seconds, and exhale through the nose.
Correct Answer: 3
The client should be taught to breathe normally, exhale comfortably, then take a deep slow breath through the mouth while dispensing the medication. Holding the breath for 10 seconds allows the medication to reach deeper airways. The client then breathes out through the mouth with the lips pursed. The other options describe incorrect techniques.
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The nurse admitting an adolescent for a physical exam asks the client if he prefers to have the parent with him or should the parent wait in the waiting room. When the nurse asks the client's preference, it indicates:
1. Belief the adolescent needs the mother present to provide a thorough history. 2. The mother is no longer in charge of the teen's health care. 3. The nurse respects the client enough to allow the choice to be his. 4. The nurse suspects the mother of abuse, and wants to talk to the teen alone.
In Heindrich, Chow, Skiercynski, and Lu (2008) study of how nurses use their time, what percentage of time was spent giving direct care?
a. 14% c. 21% b. 18% d. 54%
A serious highway accident on a foggy night involves 22 vehicles. Several of the victims are ambulatory. The emergency personnel determine that their injuries are minor and arrange for transportation home. Why are these victims triaged first?
1. To do the greatest good for the greatest number of people 2. To remove them so they do not see the critically injured victims 3. To secure the site in case the vehicles become overheated and ignite 4. To improve traffic conditions to clear the accident site quickly
There are a number of variables that may influence the client's communication with the health care team. Which of the following is an example of an interpersonal variable?
1. Postoperative discomfort 2. An extremely warm room 3. A talkative roommate 4. A loud television