Which patient using an inhaler would benefit most from using a spacer?

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NCLEX Medication Administration Questions Questions

Question 1 of 5

Which patient using an inhaler would benefit most from using a spacer?

Correct Answer: B

Rationale: A spacer is indicated for a patient who has difficulty coordinating the steps, like patients with limited mobility/coordination. An alert adolescent with a repaired cleft palate would not need a spacer. Hearing impairment may make teaching the patient to use the inhaler difficult, but it does not indicate the need for a spacer. Although a patient with left-sided hemiparesis could have coordination problems, a patient using a dry powder inhaler does not require the use of spacers.

Question 2 of 5

The nurse is administering 250 mg of a medication elixir to the patient. The medication comes in a dose of 1000 mg/5 mL. How many milliliters should the nurse administer? Record your answer using two decimal places. mL

Correct Answer: A

Rationale: The nurse needs to first determine how many milligrams are in each milliliter of the elixir. Then the nurse calculates how many milliliters would contain 250 mg. 1000 mg / 5 mL = 200 mg / 1 mL. 250 mg / (X mL) = 200 mg / mL = 1.25 mL. OR Dose ordered over dose on hand (250 / 1000) x volume or amount on hand (5). 250 / 1000 = 0.25 x 5 = 1.25 mL.

Question 3 of 5

While admitting a patient for a surgical procedure they ask you why they need to be weighed. Your best reply would be:

Correct Answer: C

Rationale: Weight is critical for calculating anaesthetic and medication doses, ensuring safety during surgery.

Question 4 of 5

Is a medication order required to give a medication?

Correct Answer: A

Rationale: A physician's order is required for all medications in a residential care setting to ensure legal and safe administration, regardless of type (prescription or OTC).

Question 5 of 5

When a medication is transferred with a resident, the medication should:

Correct Answer: A

Rationale: Counting medications during transfer ensures accuracy and accountability, maintaining the original pharmacy container for safety.

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