ATI: Metered Dose Inhalers - Video Case Study Quiz

Metered-Dose Inhalers ATI: Video Case Study RN 1. A nurse is providing teaching about how to clean a metered-dose inhaler mouthpiece to the parent of a child who is to begin treatment with an inhaled medication. Which of the following information should the nurse include in the teaching? a. Boil the mouthpiece in water for 10 min. b. Disinfect the mouthpiece by placing it in chlorhexidine for 2 hr. c. Store the mouthpiece in bleach when not in use. d. Soak the mouthpiece in an 8:1 solution of water and vinegar weekly. 2. A nurse is providing teaching to the parent of a child who is prescribed both an inhaled bronchodilator and an inhaled corticosteroid. Which of the following information should the nurse include in the teaching? a. Administer the bronchodilator first. b. Give the corticosteroid alone during an acute asthma attack. c. Wait 20 min or longer between each dose of the medications. d. Rinse the mouth with water before administering the corticosteroid. 3. A nurse is assessing a 10-year-old child who has asthma. Which of the following findings indicates to the nurse that the child needs a PRN dose of inhaled albuterol? a. Inspiratory and expiratory wheezes bilaterally in lung bases b. Peak flow rate 85% c. Respirations 24/min d. Bronchovesicular breath sounds heard over the manubrium 4. A nurse is teaching about the use of a spacer with the parent of a child who is prescribed a medication via metered-dose inhaler (MDI). Which of the following information should the nurse include in the teaching? a. "Using a spacer will reduce the possibility of an allergic reaction to the medication." b. "Using a spacer will stimulate your child to cough up thick secretions from his lungs." c. "Using a spacer will automatically calculate the number of doses left in the MDI." d. "Using a spacer will allow more of the medication to reach your child's lungs." 5. A nurse is teaching a child how to use a metered-dose inhaler (MDI). Which of the following statements by the child indicates an understanding of the teaching? a. "I will hold the inhaler at a 45 degree angle to release the medication." b. "I will tilt my head forward while inhaling the medication." c. "I will hold my breath for 10 seconds after inhaling the medication." d. "I will wait 5 minutes before taking a second puff of the medication."