The nurse is teaching a 14-year-old child on the proper use of a ...

[fahad]

The nurse is teaching a 14-year-old child on the proper use of a meter-dose inhaler to control symptoms of asthma. Which teaching points should the nurse include in these instructions? (Select all that apply.)
 
  A) Take two puffs at a time.
  B) Shake the canister before using.
  C) Wait 5 minutes between puffs.
  D) Hold the breath for 5 to 10 seconds.
  E) Activate the inhaler while taking a deep breath.

Question 2

The nurse is assessing a school-age child with asthma. Which assessment finding indicates that this patient's asthma is well controlled?
 
  A) Dry mucous membranes
  B) Presence of a dry hacking cough
  C) Peak flow meter reading in the green zone
  D) Audible wheezes present over upper lobes

[katkat_flores]

Answer to Question 1

B, D, E
Feedback:
The nurse should instruct the child to shake the canister, exhale deeply, activate the inhaler while inhaling, take a long slow inhalation, and then hold the breath for 5 to 10 seconds. The child should be instructed to take only one puff at a time and to wait for 1 minute between puffs.

Answer to Question 2

C
Feedback:
A peak flow meter reading in the green zone means no asthma symptoms are present. Dry mucous membranes indicate dehydration, which could reduce expectorating mucus from the lungs. A dry hacking cough indicates dry mucous membranes and reduces ability to expectorate mucus from the lungs. Audible wheezes over the upper lobes means the airways are constricted and an exacerbation of asthma might occur.