The nurse is helping a dyspneic older adult with severe arthritis of the hands and feet to use a nebulizer for respiratory medications. Nursing care would be correct if the nurse takes which ac-tion during the medication administration?
a. Instructs the patient to hold the mouth-piece with the hands
b. Uses a mask to deliver the ordered medi-cation
c. Places the patient in a supine position for the treatment
d. Has the patient drink some fluid before the treatment
B
Using a face mask does not require the patient to remember to hold the mouthpiece correctly and would be appropriate for this patient. The patient may be unable to hold the mouthpiece correctly because of the weakness and arthritis of the hands. Patients receiving respiratory treatments should be upright when possible. Patients who are dyspneic need to breathe rather than take in fluids, which alters their breathing pattern. The dyspnea can also cause aspirations if fluids are taken.
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