Author Question: The nurse is administering a metered-dose inhaler to a patient using a spacer. The nurse instructs ... (Read 35 times)

robinn137 · **on:** Jul 22, 2018

The nurse is administering a metered-dose inhaler to a patient using a spacer. The nurse instructs the patient to exhale completely and then depresses the medication chamber.

How long does the nurse instruct the patient to inhale deeply and slowly through the mouth before holding the breath for 10 seconds? a. 3 to 5 seconds
b. 10 to 15 seconds
c. 15 to 20 seconds
d. 25 to 30 seconds

Question 2

A patient with a lower respiratory infection has pH of 7.25, PaCO2 of 55 mm Hg, and HCO3 of 20 mEq/L. The physician has been notified. Which is the priority nursing intervention for this patient?

a. Check the color of the patient's urine output.
b. Place the patient in Trendelenburg position.
c. Encourage the patient to increase respirations.
d. Place the patient in high Fowler's position.

vickybb89 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A

Feedback
A The nurse should instruct the patient to inhale deeply and slowly for 3 to 5 seconds.
B Inhalation time should not be for 10 to 15 seconds.
C Inhalation time should not be for 15 to 20 seconds.
D Inhalation time should not be for 25 to 30 seconds.

Answer to Question 2

C
The patient has respiratory acidosis from CO2 retention. Increasing rate and depth of respiration will allow the patient to blow off excess carbon dioxide, and this will begin to correct the imbalance. Checking the urine color is not a necessary assessment. The Trendelenburg position likely would make it more difficult for the patient to breathe and should be avoided. Placing the patient in high Fowler's position may make the patient more comfortable, but it is not necessary.