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A nurse is caring for a client who has a prescription for a fluticasone propionate inhaler with a spacer. The client asks the nurse why a spacer is needed with the inhaler. Which of the following responses should the nurse make?
A nurse is caring for a client who has a prescription for a fluticasone propionate inhaler with a spacer. The client asks the nurse why a spacer is needed with the inhaler. Which of the following responses should the nurse make?
- "By using a spacer, you can take the medication correctly without any spills."
- "You can inhale five or more puffs in 1 minute when using a spacer."
- "By using a spacer, you eliminate the need for mouth rinsing after administration."
- "More medication is delivered to the lungs when you use a spacer." (correct)
A nurse is teaching the adult child of a client about instilling eye drops in the client's right eye. Which of the following statements by the client's adult child indicates an understanding of the teaching?
A nurse is teaching the adult child of a client about instilling eye drops in the client's right eye. Which of the following statements by the client's adult child indicates an understanding of the teaching?
- "I will have my mother look down while dropping the medication into her eye."
- "I will instruct my mother to tightly close her eye for 30 to 60 seconds after the medication has been given."
- "I should apply the medication using a thin stream from the inner canthus to the outer canthus."
- "I will pull down her lower eyelid and drop the medication inside." (correct)
A nurse is caring for a client who has COPD. For which of the following inhalation medication delivery methods should the nurse assess the client's ability to inhale deeply?
A nurse is caring for a client who has COPD. For which of the following inhalation medication delivery methods should the nurse assess the client's ability to inhale deeply?
- Dry powder inhaler (DPI) (correct)
- Nasal spray
- Metered dose inhaler (MDI) with attached spacer
- Use of a nebulizer via a mask
A nurse is preparing to administer a client's medication. The client states the medication makes them feel nauseated and refuses to take it. Which of the following actions should the nurse take?
A nurse is preparing to administer a client's medication. The client states the medication makes them feel nauseated and refuses to take it. Which of the following actions should the nurse take?
A nurse is preparing to instill antibiotic ear drops into the ear of a 2-year-old child. Which of the following techniques should the nurse use when administering ear drops to this client?
A nurse is preparing to instill antibiotic ear drops into the ear of a 2-year-old child. Which of the following techniques should the nurse use when administering ear drops to this client?
A nurse is preparing to administer medications for a client who has a nasogastric tube. Which of the following actions should the nurse take prior to administering the medications?
A nurse is preparing to administer medications for a client who has a nasogastric tube. Which of the following actions should the nurse take prior to administering the medications?
A nurse is administering aspirin 81 mg PO daily to a client who has a history of myocardial infarction. The medication is scheduled for 0800. Which of the following scenarios demonstrates proper use of one of the Ten Rights of Medication Administration?
A nurse is administering aspirin 81 mg PO daily to a client who has a history of myocardial infarction. The medication is scheduled for 0800. Which of the following scenarios demonstrates proper use of one of the Ten Rights of Medication Administration?
A nurse is preparing to administer several medications to a client who is receiving enteral feedings through a small bore nasogastric tube. Which of the following actions should the nurse take to ensure the medications are administered correctly?
A nurse is preparing to administer several medications to a client who is receiving enteral feedings through a small bore nasogastric tube. Which of the following actions should the nurse take to ensure the medications are administered correctly?
A nurse is caring for a client who has a new prescription for prednisone 12.5 mg by mouth daily. The medication is available in 5 mg tablets. How many tablets should the nurse administer for each dose?
A nurse is caring for a client who has a new prescription for prednisone 12.5 mg by mouth daily. The medication is available in 5 mg tablets. How many tablets should the nurse administer for each dose?
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Study Notes
Inhaler Use and Spacers
- A spacer enhances delivery of medication from a metered-dose inhaler by allowing medication to aerosolize, increasing lung deposition.
- Importantly, it helps reduce oropharyngeal deposition, minimizing side effects like oral thrush.
Eye Drop Administration
- Client's adult child should position the client comfortably and tilt the head back for optimal eye drop instillation.
- An understanding of avoiding contact with the eye dropper tip indicates proper technique and hygiene.
Inhalation Medications for COPD
- Assess the client's ability to inhale deeply for devices like dry powder inhalers (DPI), which require strong inhalation for medication delivery.
- Careful evaluation is crucial for optimizing therapeutic outcomes in clients with chronic obstructive pulmonary disease (COPD).
Responding to Medication Refusal
- If a client refuses medication due to nausea, the nurse should explore the underlying reasons and discuss alternative options or solutions.
- Documentation of the refusal and patient explanation is essential for maintaining proper medical records.
Ear Drop Administration in Young Children
- For a 2-year-old, the nurse should pull the ear lobe down and back to properly align the ear canal for effective administration of ear drops.
- This technique ensures maximum absorption and minimizes discomfort during the procedure.
Administering Medications via Nasogastric Tube
- Prior to medication administration, check the placement of the nasogastric tube to prevent aspiration and ensure safe delivery.
- Make sure the tube is clear and the client is in an appropriate position (usually sitting upright) for optimal medication effects.
Medication Administration Rights
- Administering aspirin 81 mg PO daily at the correct time (0800) demonstrates adherence to the 'Right Time' of medication administration.
- Ensuring timely medication administration is crucial for maintaining therapeutic effects, especially in post-myocardial infarction patients.
Enteral Feeding and Medication Administration
- When administering medications through a nasogastric tube during enteral feedings, pause the feeding to prevent interactions and ensure proper drug delivery.
- Flush the tube with water post-medication to clear the line and confirm medication absorption.
Prednisone Dosage Calculation
- For a new prescription of prednisone 12.5 mg, with available 5 mg tablets, the nurse should administer three tablets for each dose (3 x 5 mg = 15 mg).
- Accurate dosage calculation is critical for ensuring effective therapeutic management.
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