a nurse is teaching a client who has a new prescription for an albuterol metered dose inhaler which of the following instructions should the nurse inc
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ATI LPN

PN ATI Capstone Proctored Comprehensive Assessment B Quizlet

1. A client with a new prescription for an albuterol metered-dose inhaler is being taught by a nurse. Which of the following instructions should the nurse include in the teaching?

Correct answer: B

Rationale: The correct instruction is to hold your breath for 10 seconds after inhaling the medication. This allows the medication to settle in the lungs and maximize its effectiveness. Choice A is incorrect as inhaling quickly may lead to improper medication delivery. Choice C is wrong because taking a second puff immediately after the first without waiting for the prescribed interval may cause an overdose. Choice D is also incorrect as exhaling fully after using the inhaler may result in the medication being exhaled rather than absorbed by the lungs.

2. A nurse on the medical-surgical unit is receiving reports on four clients. Which of the following clients should the nurse assess first?

Correct answer: D

Rationale: The client who is 4 hours postoperative following a thyroidectomy and reports fullness in the throat should be assessed first. This client may be experiencing airway obstruction due to hematoma or swelling, making it a priority. Options A, B, and C have concerning findings as well, but airway compromise takes precedence over other issues.

3. While assessing four clients, which client data should be reported to the provider?

Correct answer: D

Rationale: An absolute neutrophil count of 75/mm³ is critically low and places the client at high risk for infection, necessitating immediate intervention. Neutropenia increases susceptibility to infections, making it essential to report this finding promptly. The other options, such as pain level in pleurisy, drainage amount from a drain, and heart rate postoperatively, are important but do not indicate an immediate life-threatening condition that requires urgent provider notification.

4. A nurse is performing a vaginal exam on a client who is in active labor. The nurse notes the umbilical cord protruding through the cervix. Which of the following actions should the nurse take?

Correct answer: D

Rationale: The nurse should assist the client into the knee-chest position to relieve pressure on the umbilical cord. This position helps to prevent cord compression and improves fetal oxygenation. Administering oxytocin (Choice A) could worsen the situation by increasing contractions and potentially compressing the umbilical cord. Applying oxygen (Choice B) is not the priority in this emergency situation. Preparing for insertion of an intrauterine pressure catheter (Choice C) is not appropriate as the immediate concern is relieving pressure on the umbilical cord.

5. A nurse is teaching a client about the use of aspirin. Which of the following should be included?

Correct answer: C

Rationale: The correct answer is C: 'Monitor for signs of bleeding.' Aspirin is known to increase the risk of bleeding, so clients should be monitored for this potential side effect. Choice A is incorrect because aspirin is not typically associated with causing drowsiness. Choice B is not a specific consideration for aspirin use; it is not necessary to take it with food. Choice D is incorrect because aspirin is not considered safe during pregnancy and should be avoided, especially in the third trimester, as it may cause complications for the mother and the baby.

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