This topic contains a solution. Click here to go to the answer

Author Question: An asthmatic patient has right-sided paralysis caused by a stroke 3 years ago. The prescriber orders ... (Read 72 times)

lb_gilbert

  • Hero Member
  • *****
  • Posts: 588
An asthmatic patient has right-sided paralysis caused by a stroke 3 years ago. The prescriber orders an inhaler. Which type of inhaled device would the nurse expect to be ordered for this patient?
 
  a. Inhaler without a spacer
  b. Dry-powder inhaler
  c. Glucocorticoid
  d. Nebulizer

Question 2

The nurse has received an order for an asthmatic patient for a metered-dose inhaler (MDI), 2 puffs BID. While instructing the asthmatic patient in the proper use of an MDI, the nurse should include which of the following instructions?
 
  a. Inhale after activating the device.
  b. Administer 2 puffs, wait 1 minute, and administer 2 more.
  c. Wait 1 minute between the first and second puff.
  d. Puff the inhaled doses in rapid succession.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

wshriver

  • Sr. Member
  • ****
  • Posts: 318
Answer to Question 1

ANS: B
Dry powder inhalers are breath activated and do not require the hand-lung coordination needed with MDIs. They would be easier for a patient with hemiparesis to use.
Use of an MDI requires hand-lung coordination and would not be the best choice for a patient with hemiparesis.
A glucocorticoid is not necessarily an inhaled device.
A nebulizer must be set up and would be more difficult for a patient with hemiparesis.

Answer to Question 2

ANS: C
When 2 puffs are needed, an interval of at least 1 minute should separate the first puff from the second.
The inhale should be just prior to activation of the device.
If the medication is ordered 2 puffs BID, the patient would not administer 2 puffs followed by 2 more puffs in 1 minute.
There should be at least a 1 minute interval between puffs. They should not be taken in rapid succession.





 

Did you know?

Oliver Wendell Holmes is credited with introducing the words "anesthesia" and "anesthetic" into the English language in 1846.

Did you know?

Vaccines prevent between 2.5 and 4 million deaths every year.

Did you know?

Computer programs are available that crosscheck a new drug's possible trade name with all other trade names currently available. These programs detect dangerous similarities between names and alert the manufacturer of the drug.

Did you know?

Adolescents often feel clumsy during puberty because during this time of development, their hands and feet grow faster than their arms and legs do. The body is therefore out of proportion. One out of five adolescents actually experiences growing pains during this period.

Did you know?

By definition, when a medication is administered intravenously, its bioavailability is 100%.

For a complete list of videos, visit our video library