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PNR 309 MIDTERM EXAM 2025 ACTUAL EXAM COMPLETE ACCURATE EXAM QUESTIONS WITH 100% DETAILED VERIFIED AND CORRECT ANSWERS ACTUAL BRAND-NEW EXAM ALREADY GRADED A+

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PNR 309 MIDTERM EXAM 2025 ACTUAL EXAM COMPLETE ACCURATE EXAM QUESTIONS WITH 100% DETAILED VERIFIED AND CORRECT ANSWERS ACTUAL BRAND-NEW EXAM ALREADY GRADED A+

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PNR 309 MIDTERM EXAM 2025
ACTUAL EXAM COMPLETE
ACCURATE EXAM QUESTIONS WITH
100% DETAILED VERIFIED AND
CORRECT ANSWERS ACTUAL
BRAND-NEW EXAM ALREADY
GRADED A+




The nurse is assisting a client to learn self- administration
of beclomethasone. Which of the following actions should
the nurse include in the teaching plan as the best way to
prevent an oral infection while taking this medication?
a) Chew a hard candy before the first puff of
medication.
b) Rinse the mouth with water before each puff of
medication.
c) Ask for a breath mint following the second puff of
medication.
d) Rinse the mouth with water following the second puff of
medication. - ....ANSWER...d)Rinse the mouth with water
following the second puff of medication.


1

,The client should rinse the mouth with water following the
second puff of medication to reduce the risk of fungal
overgrowth and oral infection.


The nurse is preparing to administer salmeterol to a client by
metered-dose inhaler (MDI). The nurse tells
the client that which of the following time frames is the
onset of action for this medication?
a) 3-5 minutes
b) 10-20 minutes
c) 30-60 minutes
d) 2-4 hours - ....ANSWER...b)10-20 minutes


The nurse is evaluating whether a client understands how
to safely determine whether a metered-dose inhaler (MDI)
without a counter is empty. Which of the following
methods to check the inhaler to prevent underdosing
should the nurse teach the client?
a) Place it in water to see if it floats.
b) Keep track of the number of inhalations used.
c) Shake the canister while holding it next to the ear.
d) Check the indicator line on the side of the canister.
- ....ANSWER...b)Keep track of the number of inhalations
used.

2

,It is no longer appropriate to determine whether a canister
is empty by seeing if it floats in water since this is not
accurate. The best method to determine when to replace an
inhaler is by knowing the
maximum number of puffs available per MDI and then
replacing it when those inhalations have been used.




The nurse is caring for a client with COPD and the
rexpresses concerns related to sexual intercourse. Which
of the following information should the nurse provide to
the client?
a) Abstain from intercourse but not intimacy
b) Assume the dominant position during intercourse
c) Increase the time spent in foreplay
d) Use slow pursed-lip breathing during intercourse
- ....ANSWER...d)Use slow pursed-lip breathing during
intercourse


Clients with COPD may need modifications related to
sexual activity but abstaining from intercourse is not
required. Clients with COPD also need less energy if


3

, these guidelines are followed: (a) have sexual activity
during the part of the day when breathing is best, (b) use
slow pursed-lip breathing, (c) refrain from sexual activity
after eating or other strenuous activity, (d) do not assume a
dominant position, and
(e) do not prolong foreplay.


The nurse is caring for a client who is prescribed
salbutamol. Which of the following client vital signs
indicates that the client is not experiencing any adverse
effects from this medication?
a)Pulse rate of 76
b)Respiratory rate of 18
c) Temperature of 36.9° C (98.4°C)
d) Oxygen saturation of 96% - ....ANSWER...a)Pulse
rate of 76


Salbutamol is a fl2-agonist that can sometimes cause
adverse cardiovascular effects. These would include
tachycardia and angina. A pulse rate of 76 indicates that
the client did not experience tachycardia as an adverse
effect.


The nurse is caring for a client who has a prescription for
each of the following inhalers. Which
4

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