pg. 1
, WEEK 9 CLASS 6512 I HUMAN CASE
STUDY 30 YEAR OLD REASON FOR
ENCOUNTER: NECK PAIN | ACCURATE
AND EXPERT VERIFIED WITH
DETAILED SOLUTIONS | ACCURATE
A nurse is preparing to help a patient administer a bronchodilator using
a nebulizer. What will the nurse do first in order to evaluate the
medication's effectiveness?
A. Assess the patient's respiratory status before administration.
B. Demonstrate use of the nebulizer.
C. Discuss the medication side effects.
D. Verify the patient's identification according to agency policy. -
ANSWER -A. Assess the patient's respiratory status before
administration;
Rationale: Assessing the patient's respiratory status before
administration will provide a baseline against which the respiratory
status can be compared after administration. Demonstrating use of the
nebulizer, discussing the medication side effects, and verifying the
pg. 2
,patient's identification are appropriate; however, these actions will not
help the nurse evaluate the drug's effectiveness.
What should the nurse do first if the patient or family express concerns
about the accuracy of a nebulized medication?
A. Do not give the medication.
B. Explore the patient's concerns.
C. Notify the healthcare practitioner.
D. Verify the medication order. - ANSWER -A. Do not give the
medication;
Rationale: Do not give the medication if the patient or family expresses
concerns about its accuracy. Explore the patient's concern, notify the
practitioner, and verify the order.
The nurse needs to administer a nebulized medication to an older adult
who is too weak hold the nebulizer mouthpiece. Which intervention
should the nurse implement?
A. The nurse should ask a family member or NAP to assist with holding
the nebulizer mouthpiece.
B. The nurse should delay treatment until the patient is stronger.
C. The nurse should hold the mouthpiece for the patient while the
medication is being nebulized.
pg. 3
, D. The nurse should use an aerosol facemask to administer the
nebulized medication. - ANSWER -D. The nurse should use an aerosol
facemask to administer the nebulized medication;
Rationale: The nurse should use a facemask to administer the nebulized
medication if the patient is a young child, too weak to hold the
mouthpiece correctly or unable to follow instructions. The nurse should
not delegate holding the mouthpiece to a NAP or family member. If the
patient is too weak to hold the mouthpiece, he may also be too weak to
keep his lips closed around it. The nurse should not delay treatment and
deny the patient a needed therapy. The nurse should not hold the
mouthpiece for the patient; use of an aerosol facemask is the
appropriate intervention.
Why should the nurse tap the nebulizer medication cup during and near
the end of the treatment?
A. To make the mist form
B. To improve the patient's pulmonary function
C. To provide control of airway hyperactivity and constriction
D. To release droplets that are clinging to the side of the cup - ANSWER
-D. To release droplets that are clinging to the side of the cup;
Rationale: Tapping the nebulizer cup occasionally during treatment and
toward the end of treatment releases droplets that are clinging to the
side of the cup, allowing the solution to be re-nebulized. Mist is created
pg. 4
, WEEK 9 CLASS 6512 I HUMAN CASE
STUDY 30 YEAR OLD REASON FOR
ENCOUNTER: NECK PAIN | ACCURATE
AND EXPERT VERIFIED WITH
DETAILED SOLUTIONS | ACCURATE
A nurse is preparing to help a patient administer a bronchodilator using
a nebulizer. What will the nurse do first in order to evaluate the
medication's effectiveness?
A. Assess the patient's respiratory status before administration.
B. Demonstrate use of the nebulizer.
C. Discuss the medication side effects.
D. Verify the patient's identification according to agency policy. -
ANSWER -A. Assess the patient's respiratory status before
administration;
Rationale: Assessing the patient's respiratory status before
administration will provide a baseline against which the respiratory
status can be compared after administration. Demonstrating use of the
nebulizer, discussing the medication side effects, and verifying the
pg. 2
,patient's identification are appropriate; however, these actions will not
help the nurse evaluate the drug's effectiveness.
What should the nurse do first if the patient or family express concerns
about the accuracy of a nebulized medication?
A. Do not give the medication.
B. Explore the patient's concerns.
C. Notify the healthcare practitioner.
D. Verify the medication order. - ANSWER -A. Do not give the
medication;
Rationale: Do not give the medication if the patient or family expresses
concerns about its accuracy. Explore the patient's concern, notify the
practitioner, and verify the order.
The nurse needs to administer a nebulized medication to an older adult
who is too weak hold the nebulizer mouthpiece. Which intervention
should the nurse implement?
A. The nurse should ask a family member or NAP to assist with holding
the nebulizer mouthpiece.
B. The nurse should delay treatment until the patient is stronger.
C. The nurse should hold the mouthpiece for the patient while the
medication is being nebulized.
pg. 3
, D. The nurse should use an aerosol facemask to administer the
nebulized medication. - ANSWER -D. The nurse should use an aerosol
facemask to administer the nebulized medication;
Rationale: The nurse should use a facemask to administer the nebulized
medication if the patient is a young child, too weak to hold the
mouthpiece correctly or unable to follow instructions. The nurse should
not delegate holding the mouthpiece to a NAP or family member. If the
patient is too weak to hold the mouthpiece, he may also be too weak to
keep his lips closed around it. The nurse should not delay treatment and
deny the patient a needed therapy. The nurse should not hold the
mouthpiece for the patient; use of an aerosol facemask is the
appropriate intervention.
Why should the nurse tap the nebulizer medication cup during and near
the end of the treatment?
A. To make the mist form
B. To improve the patient's pulmonary function
C. To provide control of airway hyperactivity and constriction
D. To release droplets that are clinging to the side of the cup - ANSWER
-D. To release droplets that are clinging to the side of the cup;
Rationale: Tapping the nebulizer cup occasionally during treatment and
toward the end of treatment releases droplets that are clinging to the
side of the cup, allowing the solution to be re-nebulized. Mist is created
pg. 4
