The nurse instructs a client on how to correctly use an inhaler ...

[Mr3Hunna]

The nurse instructs a client on how to correctly use an inhaler with a spacer. In which order should these steps occur?
 
  1. Press down firmly on the canister to release one dose of medication.
  2. Breathe in slowly and deeply.
  3. Shake the whole unit vigorously three or four times.
  4. Insert the mouthpiece of the inhaler into the nonmouthpiece end of the spacer.
  5. Place the mouthpiece into your mouth, over the tongue, and seal your lips tightly around the mouthpiece.
  6. Remove the mouthpiece from your mouth, keep your lips closed, and hold your breath for at least 10 seconds.
  a.
  2, 3, 4, 5, 6, 1
  b.
  3, 4, 5, 1, 6, 2
  c.
  4, 3, 5, 1, 2, 6
  d.
  5, 3, 6, 1, 2, 4

Question 2

A nurse auscultates a client's lung fields. Which action should the nurse take based on the lung sounds? (Click the media button to hear the audio clip.)
 
  a. Assess for airway obstruction.
  b. Initiate oxygen therapy.
  c. Assess vital signs.
  d. Elevate the client's head.

[Sweetkitty24130]

Answer to Question 1

ANS: C
The proper order for correctly using an inhaler with a spacer is as follows. Insert the mouthpiece of the inhaler into the nonmouthpiece end of the spacer. Shake the whole unit vigorously three or four times. Place the mouthpiece into the mouth, over the tongue, and seal the lips tightly around it. Press down firmly on the canister of the inhaler to release one dose of medication into the spacer. Breathe in slowly and deeply. Remove the mouthpiece from the mouth, and, keeping the lips closed, hold the breath for at least 10 seconds. Then breathe out slowly. Wait at least 1 minute between puffs.

Answer to Question 2

ANS: A
Stridor is the sound heard, and it indicates severe airway constriction. The nurse must administer a bronchodilator to get air into the lungs. Administering oxygen, assessing vital signs, and elevating the client's head will not help until the client's airways are open.

[Mr3Hunna]

Correct answers!

[Sweetkitty24130]

Great! Please up vote