A patient with asthma will be using a metered-dose inhaler (MDI) for delivery of an inhaled medication. The provider has ordered 2 puffs to be given twice daily. It is important for the nurse to teach this patient that:
a. a chlorofluorocarbon (CFC) propellant is superior to a hydrofluoroalkane (HFA) propellant.
b. the patient should activate the device and then inhale.
c. the patient should store the MDI in the refrigerator between doses.
d. the patient should wait 1 minute between puffs.
ANS: D
When 2 puffs are needed, an interval of at least 1 minute should separate the first puff from the second. CFC propellants will be discontinued because of damage to the environment. The patient should begin inhaling and then activate the device. There is no need to store the drug in the refrigerator.
You might also like to view...
The nurse is initiating an IV of 5% Dextrose and 0.45 NS to infuse at 60 mL/hour for 24 hours on a client who has never had an IV before. Which of the following sites would be the nurse's first choice?
1. Digital vein 2. Metacarpal vein 3. Antecubital cephalic vein 4. Great saphenous vein
A client diagnosed with obsessive-compulsive disorder (OCD) is being admitted as an inpatient. The client is obsessed with thoughts of symmetry. Which compulsive behaviors does the nurse anticipate when performing the admission assessment?
Select all that apply. A) The client repeatedly washes his hands. B) The client repeatedly taps both wrists on the bedside table. C) The client avoids shaking the nurse's hand D) The client begins counting the floor tiles. E) The client repeatedly cleans the top of the bedside table.
The nurse is performing a brief physical assessment on a client at the beginning of the shift. The nurse notices that the client has yellowing skin, mucous membranes and most notably, yellow sclera
The nurse documents which of the following descriptors? a. pallor c. cyanosis b. jaundice d. erythema
A nurse is providing teaching to a patient who is admitted to the hospital for initiation of treatment with amiodarone (Cordarone) for atrial fibrillation that has been refractory to other medications
Which statement by the patient indicates a need for further teaching? a. "I may have itching, malaise, and jaundice, but these symptoms will subside." b. "I need to use sun block to help keep my skin from turning bluish gray." c. "I should not drink grapefruit juice while taking this medication." d. "I should report shortness of breath and cough and stop taking the drug immediately."