The client has a prescription for a medication that is ...

[Alainaaa8]

The client has a prescription for a medication that is administered via an inhaler. Which of the following will allow the nurse to determine whether the client requires a spacer for the inhaler?
 
  a. The dosage of medication required
  b. The coordination of the client
  c. The schedule of administration
  d. The use of a dry powder inhaler (DPI)

Question 2

When turning a patient, the nurse notices a reddened area on the coccyx. Which of the following skin care interventions should the nurse use on this area?
 
  a. Clean the area, dry it, and add a protective moisturizer.
  b. Apply a diluted hydrogen peroxide and water mixture, and use a heat lamp on the area.
  c. Soak the area in normal saline solution.
  d. Wash the area with an astringent, and paint it with povidone-iodine (Betadine).

[sokh]

Answer to Question 1

B
Spacers are especially helpful when the client has difficulty coordinating the steps involved in self-administering inhaled medications.
The use of a spacer is not dependent on the dosage of medication.
The use of a spacer is not dependent on the schedule of administration.
Spacers are not required with the use of a dry powder inhaler.

Answer to Question 2

A

Feedback
A The skin should be cleansed with a nonionic surfactant solution and completely dried, and a protective moisturizer applied to keep the epidermis well lubricated.
B Hydrogen peroxide is cytotoxic and should not be used. A heat lamp is not necessary and would increase the patient's risk of an accidental burn.
C The area should not be soaked, as this may lead to maceration of the skin.
D The area should not be cleansed with an astringent and painted with povidone-iodine. An astringent may cause excessive drying of the tissue, and povidone-iodine is cytotoxic.

[Alainaaa8]

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