Posted: January 10th, 2017

A nurse teaches a client about the use of a respiratory inhaler. Which action by the client indicated a need for further teaching?

A nurse instructs a client to use the pursed lip method of breathing. The client asks the nurse about the purpose of this type of breathing. The nurse responds, knowing that the primary purpose of pursed lip breathing is:

1. Promote oxygen intake
2. Strengthen the diaphragm
3. Strengthen the intercostal muscles
4. Promote carbon dioxide elimination

50.  A nurse reviews the ABG values and notes a pH of 7.50, a P_CO2of 30 mm Hg, and an HCO₃ of 25 mEq/L. The nurse interprets these values as indicating:

1. Respiratory acidosis uncompensated
2. Respiratory alkalosis uncompensated
3. Metabolic acidosis uncompensated
4. Metabolic acidosis partially compensated.

51.  Aminophylline (theophylline) is prescribed for a client with acute bronchitis. A nurse administers the medication, knowing that the primary action of this medication is to:

1. Promote expectoration
2. Suppress the cough
3. Relax smooth muscles of the bronchial airway
4. Prevent infection

52.  A client is receiving isoetharine hydrochloride (Bronkosol) via a nebulizer. The nurse monitors the client for which side effect of this medication?

1. Constipation
2. Diarrhea
3. Bradycardia
4. Tachycardia

53.  A nurse teaches a client about the use of a respiratory inhaler. Which action by the client indicated a need for further teaching?

1. Removes the cap and shakes the inhaler well before use.
2. Presses the canister down with finger as he breathes in.
3. Inhales the mist and quickly exhales.
4. Waits 1 to 2 minutes between puffs if more than one puff has been prescribed.