Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus.
The client has a prescription for two inhalations from an albuterol metered-dose inhaler.
Which of the following statements by the client indicates an understanding of the teaching?.
A. "I will hold the inhaler with my non-dominant hand.”.
A rationale: The hand used to hold the inhaler does not affect its effectiveness.
B. "I will hold my breath at least 10 seconds after inhaling the medication.”.
B rationale: Holding breath allows more medication to reach the lungs.
C. "I will wait 10 min between each inhalation.”.
C rationale: Waiting 1 minute, not 10, between inhalations allows for better absorption.
D. "I will tilt my head forward while inhaling the medication.”.
D rationale: Head position does not affect inhalation.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Custom Cohert 6 Pharmacology Quiz 2 Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
The hand used to hold the inhaler does not affect its effectiveness.
Choice B rationale:
Holding breath allows more medication to reach the lungs.
Choice C rationale:
Waiting 1 minute, not 10, between inhalations allows for better absorption.
Choice D rationale:
Head position does not affect inhalation.
Similar Questions
A nurse is caring for a client who has hypertension and is to start taking atenolol.
The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?.
A. Constipation
A rationale: Atenolol does not commonly cause constipation.
B. Bradycardia.
B rationale: Atenolol, a beta blocker, can slow heart rate, leading to bradycardia.
C. Cough.
C rationale: Atenolol does not typically cause cough.
D. Headache.
D rationale: While some may experience headache, it’s not a common side effect of atenolol.
Full Explanation
Choice A rationale:
Atenolol does not commonly cause constipation.
Choice B rationale:
Atenolol, a beta blocker, can slow heart rate, leading to bradycardia.
Choice C rationale:
Atenolol does not typically cause cough.
Choice D rationale:
While some may experience headache, it’s not a common side effect of atenolol.
A nurse is caring for a postoperative client who is receiving fentanyl.
Which of the following medications should the nurse plan to administer to the client if manifestations of fentanyl toxicity occur?.
A. Flumazenil
A rationale: Flumazenil is used to reverse the effects of benzodiazepines, not opioids like fentanyl.
B. Naloxone.
B rationale: Naloxone is an opioid antagonist that can quickly reverse an opioid overdose, including fentanyl.
C. Protamine.
C rationale: Protamine is used to reverse the effects of heparin, a blood thinner, not opioids.
D. Atropine.
D rationale: Atropine is used to treat bradycardia and symptoms of nerve gas exposure, not opioid toxicity.
Full Explanation
Choice A rationale:
Flumazenil is used to reverse the effects of benzodiazepines, not opioids like fentanyl.
Choice B rationale:
Naloxone is an opioid antagonist that can quickly reverse an opioid overdose, including fentanyl.
Choice C rationale:
Protamine is used to reverse the effects of heparin, a blood thinner, not opioids.
Choice D rationale:
Atropine is used to treat bradycardia and symptoms of nerve gas exposure, not opioid toxicity.
A nurse is reinforcing teaching with a client who takes diazepam.
Which of the following information should the nurse include?.
A. "Avoid foods that contain tyramine.”
A rationale: Foods containing tyramine need to be avoided when taking monoamine oxidase inhibitors, not diazepam.
B. "Diazepam can cause drowsiness.”.
B rationale: Diazepam, a benzodiazepine, can indeed cause drowsiness as a side effect.
C. "Grapefruit juice inactivates this medication.”.
C rationale: Grapefruit juice can affect the metabolism of certain medications, but diazepam is not one of them.
D. "A single dose of diazepam is unlikely to cause side effects.”.
D rationale: Even a single dose of diazepam can cause side effects, including drowsiness.
Full Explanation
Choice A rationale:
Foods containing tyramine need to be avoided when taking monoamine oxidase inhibitors, not diazepam.
Choice B rationale:
Diazepam, a benzodiazepine, can indeed cause drowsiness as a side effect.
Choice C rationale:
Grapefruit juice can affect the metabolism of certain medications, but diazepam is not one of them.
Choice D rationale:
Even a single dose of diazepam can cause side effects, including drowsiness.