1010

The nurse provides care for a client diagnosed with ventricular tachycardia and angina. Which medication does the nurse administer first? 1.Nitroglycerin.2.Morphine sulfate.3.Amiodarone.4.Metoprolol.

3

The nurse provides care for an infant who underwent cleft palate repair. Which intervention by the nurse takes priority? 1.Managing the infant's airway.2.Controlling the infant's pain.3.Providing incision care.4.Feeding the infant.

1

A client care team consists of a nurse, an LPN/LVN and an unlicensed assistive personnel (UAP). Which client will be assigned to the nurse? 1.Client diagnosed with toxic shock syndrome.2.Client recovering from an ectopic pregnancy.3.Client recovering from the removal of a hydatidiform mole.4.Client recovering from a vaginal hysterectomy.

1

A client experiencing regular contractions reports "water breaking. " Which action does the nurse take first? 1.Auscultate the fetal heart rate.2.Document the characteristics of the amniotic fluid.3.Obtain the pH of the amniotic fluid.4.Notify the health care provider.

1

A client who is receiving isoniazid, rifampin, and ethambutol asks the nurse why the health care provider has prescribed three medications. Which response should the nurse provide? 1."The combination of medication prevents the development of resistant organisms. "2."The combination of medication kills the bacteria more rapidly. "3."The combination of medication reduces the duration of time you take the medication. "4."The combination of medication reduces the risk of developing side effects from the medication. "

1

The home care nurse visits an older adult Asian-American woman diagnosed with hypertension and heart failure. Which observation is important for the nurse to follow up? 1.The client is 5 feet tall and weighs 100 lb (45 kg).2.The client eats whole grains and fresh fruits and vegetables.3.The client walks 2 miles three times per week.4.The client abstains from alcohol.

1

The nurse assesses a client with Addison disease. Which finding will the nurse expect the client to exhibit? 1.Muscle cramps, fatigue, and hypotension.2.Shortness of breath, pallor, and hirsutism.3.Rales, maculopapular rash, and weight loss.4.Hypertension, peripheral edema, and petechiae.

1

The nurse provides care for clients on a cruise ship. The nurse interviews several clients who are experiencing severe vertigo unrelieved by dimenhydrinate. Which client does the nurse assign to see the health care provider first? 1.A client with a temperature of 100°F (38°C) who complains of hearing loss in the right ear.2.A client who reports that objects seem to be moving around him.3.A client who has a full feeling in the ear with a crackling and popping sound.4.A client who reports ringing in the ears and occasional vertigo.

1

The nurse provides care for several clients. Which client does the nurse assess first? 1.A middle-age female adult client reporting fatigue, severe nausea, and jaw pain.2.An older adult male client reporting abdominal pain, vomiting, and diarrhea.3.A middle-age female adult client reporting productive cough and shortness of breath.4.An older adult male client reporting urinary hesitancy and weak urinary stream.

1

The triage nurse prioritizes clients for evaluation. Which client does the nurse determine needs to be seen first? 1.A woman at 6 weeks' gestation and who reports left lower quadrant abdominal pain and vaginal spotting.2.A toddler whose parents report nausea and vomiting for 2 hours and a fever of 102.8°F (39.3°C).3.A client who is diagnosed with renal disease and who missed dialysis the day before and reports dependent edema.4.A school-age client with a forehead laceration from a fall and who is smiling and playful.

1

Which information is essential to report when communicating client information at the change of shift? (Select all that apply.) 1.The client is newly diagnosed with type 1 diabetes and needs follow-up teaching about insulin administration.2.The client is seemingly more confused and has been attempting to get out of bed without assistance.3.The attending health care provider prescribed lorazepam PRN for restlessness.4.The client has a 20-year history of smoking.5.The client receives carvedilol, benztropine mesylate, and losartan on a daily basis.

1,2,3

While performing abdominal thrusts to remove a foreign body, the client becomes unconscious. Which action is appropriate for the nurse to implement at this time? (Select all that apply.) 1.Begin chest compressions.2.Look in the client's mouth for a foreign body.3.Insert an oropharyngeal airway.4.Open the client's airway using a head-tilt, chin-lift maneuver.5.Activate the emergency response system.

1,2,4,5

The nurse manager reviews the medical records for clients receiving care on the unit. Which documentation entries require the completion of an incident report? (Select all that apply.) 1."Client fell at 09:00 while getting out of bed. Client denied pain. No injuries noted. "2."Client reports 8/10 pain after receiving pain medication. Health care provider notified. "3."Levofloxacin 500 mg PO prescribed. Levofloxacin 750 mg PO administered."4."Vesicant medication infusing. Client 's IV site warm to touch, reddened, and swollen. "5."Client left facility before signing a leaving against medical advice form. "

1,3,4,5

A client newly diagnosed with emphysema is being discharged to home. Which client statement indicates to the nurse an understanding of the discharge instructions? (Select all that apply.) 1."I need to get my annual influenza vaccine."2."I need to decrease my smoking to half a pack a day."3."I will sit while watching my grandson's soccer games."4."I should limit my fluid intake to 4 cups of water a day."5."I am signing up for tai chi at my local community center."6."I should eat three large meals each day."

1,3,5

The new graduate nurse is asked by the preceptor why the time spent with the client was longer than expected. The new graduate replies, "I taught the client how to use the incentive spirometer. The client did not understand that you have to inhale and hold your breath." The preceptor responds, "It's not inhale with an incentive spirometer, it's exhale." Which action does the new graduate nurse take? 1.Return to the client and explain that they should hold their breath on exhalation, not inhalation.2.Suggest that the preceptor join the new graduate in reviewing the manufacturer's guidelines for use of the machine.3.Explain that it was stressed in class that inhalation, not exhalation, was appropriate for the incentive spirometer.4.Tell the preceptor that this erroneous information is shocking and the matter needs go to the manager.

2

The nurse supervises the care of a client who just had a short leg cast applied. Which observations demonstrate to the nurse that care is appropriate? (Select all that apply.) 1.The cast is covered with a light sheet.2.The staff handles the cast using the palms of the hands.3.The affected limb is elevated to the level of the heart.4.The nurse compares the toes of the casted leg with the opposite leg.5.The staff places a fan in the client's room.6.The staff turns the client every 4 hours.

2,3,4,5

The nurse provides care for a client diagnosed with impaired vision. Which interventions will the nurse implement to meet the client's needs? (Select all that apply.) 1.Keep the voice even throughout conversations.2.Explain the sounds in the environment.3.Decrease background noise before speaking.4.Stay in the client's field of vision.5.Identify self by name and staff position.

2,4,5

The nurse provides care for an older adult client who screams frequently. The nurse plans a behavior modification program to deal with the screaming. Which action by the nurse is best? 1.Monitor client's ability to perform daily activities.2.Assess the client's pain level and characteristics.3.Observe the client's behavior at regular intervals.4.Ask the client why the client is screaming.

3

The spouse of a client diagnosed with a phobia is concerned by the client's sudden fear of elevators. The spouse asks the nurse what to do when the client becomes frightened. Which action does the nurse encourage the spouse to take first? 1.Ride the elevator with the client.2.Encourage the client to get into the elevator.3.Allow the client to avoid the elevator.4.Encourage the client to discuss the fear.

3

The nurse assigns a client prescribed a continuous bladder irrigation to an unlicensed assistive personnel (UAP). Which tasks can be delegated to the UAP? (Select all that apply.) 1.Assess patency of the three-way urinary catheter.2.Manually irrigate the catheter if outflow is decreased.3.Do perineal care and clean around the catheter.4.Report pain and bladder spasms to the nurse.5.Record the intake and output as prescribed.

3,4,5

The nurse provides care for clients at the student health clinic. Which data cause the nurse to suspect the student is using cocaine? 1.Reports of frequent sneezing, a sore throat, and T 100°F (37.8°C).2.Reports of diarrhea, vomiting, and abdominal pain.3.Reports of fatigue, dilated pupils, and anorexia.4.Reports of insomnia, rhinorrhea, and facial pain.

4

The nurse provides care for clients on the medical-surgical unit. After receiving report, which client does the nurse assess first? 1.A client admitted 8 hours ago with viral gastroenteritis who is complaining of nausea, vomiting, and diarrhea.2.A client 24 hours post-thyroidectomy who is complaining of a headache and pain at the incision site.3.A client admitted 3 days ago for chronic kidney disease with a urinary output of 220 mL in 8 hours.4.A client admitted yesterday for heart failure and digitalis toxicity with frequent premature ventricular complexes.

4

Which finding during a newborn client examination requires immediate action by the nurse? 1.The left side of the newborn's face is drooping.2.The newborn's uvula has two lobes.3.The newborn's ears are low-set bilaterally.4.The red reflex is absent in the newborn's right eye.

4

The nurse supervises a nursing team that consists of nurses, LPN/LVNs, and unlicensed assistive personnel (UAPs). A client experiences a generalized tonic-clonic seizure while in a standing position and is assisted to the floor. The nurse intervenes if which action is observed? (Select all that apply.) 1.The LPN/LVN loosens the client's constrictive clothing.2.The UAP places a pillow under the client's head.3.The UAP refrains from placing objects in the client's mouth.4.The LPN/LVN places the client in the supine position.5.The UAP restrains the client's extremities during the seizure.6.The UAP closes the client's curtain until the situation resolves.

4,5

The nurse notes that a client diagnosed with acquired immune deficiency syndrome (AIDS) has hyperpigmented skin lesions. Which complication associated with the current diagnosis does the nurse suspect this client is experiencing? 1.Kaposi sarcoma.2.Varicella-zoster virus infection.3.Candida albicans.4.Herpes simplex type 1 infection.

1

The nurse observes a student nurse assess neonates in the nursery. Which student nurse action requires intervention by the nurse? 1.Documenting a negative red light reflex in a neonate who is two days old.2.Testing the tonic neck reflex by lying the neonate supine and turning the head to one side.3.Testing the rooting reflex by stroking the corner of the neonate's mouth.4.Documenting a positive Babinski reflex in a neonate who is one day old.

1

A client diagnosed with a head injury is being prepared for a lumbar puncture. Which action will the nurse take first? 1.Obtain informed consent.2.Measure pre-procedure vital signs.3.Explain the procedure to client.4.Locate a lumbar puncture tray.

2

The nurse provides care for a client diagnosed with pneumonia and acute respiratory distress syndrome (ARDS). The client asks about the benefits of pulmonary rehabilitation. Which results of the rehabilitation program will the nurse include in the teaching? (Select all that apply.) 1.Improved exercise capacity.2.Decreased anxiety.3.Decreased depression.4.Increased oxygen needs.5.Decreased hospitalizations. View Explanation

1.2.3.5

An infant who is prescribed digoxin 0.02 mg/kg by mouth in divided doses is sleeping and has a regular heart rate of 80 beats/min. Which action does the nurse take? 1.Stimulate the sole of the infant's foot to recheck heart rate.2.Give the medication as prescribed and document the heart rate in the medical record.3.Withhold the medication and immediately notify the health care provider.4.Ask another nurse to recheck the infant's heart rate. View Explanation

3

The home care nurse evaluates a client diagnosed with tuberculosis receiving isoniazid, rifampin, and pyrazinamide. Which client statement requires further assessment by the nurse? 1."I have gained 5 pounds since I started taking the medication."2."I cover my nose and mouth when I cough or sneeze."3."I drink a glass of wine with dinner each night."4."I have stopped eating tuna salad sandwiches."

3

The home health nurse visits a client diagnosed with systemic lupus erythematosus (SLE). Which client statement is most important for the nurse to follow up? 1."I seem to have much less energy from one day to the next."2."I am flying out of town next week to visit my mother for her 70th birthday."3."One of my favorite activities is working in my garden."4."The face rash is fading. Maybe people will stop staring at me so much once it is gone."

3

The nurse assesses a client with a physical health problem. Which finding indicates to the nurse that the client might have a history of alcohol use? 1.Depression, difficulty falling asleep, decreased concentration.2.Elevated liver enzymes, cirrhosis, decreased platelets.3.Tremors, elevated temperature, nocturnal leg cramps, complaints of pain symptoms.4.Flulike symptoms, night sweats, elevated temperature, decreased deep tendon reflexes.

3

An older adult client experiences a left-sided cerebral infarct. Which sign does the nurse expect the client to exhibit upon assessment? 1.Weakness of the left arm.2.Impulsive behavior.3.Disorientation to person, place, and time.4.Impaired speech.

4

The client is treated for deep vein thrombosis with IV unfractionated heparin. Which finding most concerns the nurse? 1.Increased anxiety.2.Decreased heart rate.3.Increased activated partial thromboplastin time (aPTT).4.Decreased level of consciousness.

4

The nurse performs a health screening at a senior citizen facility. A client has been taking oral iron supplements for a month and reports constipation. Which food does the nurse recommend a client include in the diet? 1.Oatmeal, green beans, and celery.2.Strawberries and mushrooms.3.Grits, orange juice, and cheddar cheese.4.Pasta, buttermilk, and bananas

1

The nurse provides care for a client diagnosed with a cerebrovascular accident (CVA). Which action by the nurse is most important when creating a teaching plan? 1.Ask the client to discuss perception of health status.2.Identify the client 's strengths and weaknesses.3.Encourage the client to discuss concerns with a client who has rehabilitated after a CVA.4.Offer the client an anticipated schedule and written plan of therapy.

1

The experienced pediatric nurse is the preceptor for a new nurse on the unit. Which action by the new nurse is appropriate? (Select all that apply.) 1.Providing an age-appropriate book to read while an intravenous (IV) pain medication is administered.2.Calling the parents out of the room to discuss the child 's recent test results.3.Offering a visit to the child and parents from the hospital chaplain.4.Encouraging the family of a child in contact isolation to bring in the child 's favorite blanket for comfort.5.Bringing a high chair to the room of a 5-month-old to encourage the child to eat.6.Removing the arm board of a child whose IV is in the antecubital space, before the child visits the playroom.

1,2,3,4

The nurse supervises the staff providing care to four clients receiving blood transfusions. Which client will the nurse see first? 1.Reporting a headache.2.Experiencing emesis. 3.Reporting itching4.Experiencing neck vein distention.

2

The nurse reviews care needed by several clients with open wounds. Which clients will the nurse delegate to the LPN/LVN? (Select all that apply.) 1.Client with pressure injuries on both heels receiving daily wound care with an alginate dressing.2.Client newly admitted with a skin tear on the forearm covered by a transparent dressing.3.Client with osteomyelitis of the jaw receiving daily sterile dressing changes.4.Client with a stage 3 sacral pressure injury that is due for weekly wound measurements.5.Client with a stage 2 pressure injury on the coccyx with new onset of purulent drainage.6.Client with a surgical incision on the left hip requiring daily gauze dressing changes. View Explanation

1,3,4,6

The nurse provides care to an intrapartum client on the labor-and-delivery unit. Which observation requires follow up? (Select all that apply.) 1.The partner answers questions that are directed toward the the client.2.The client screams and uses obscenities during the delivery.3.The partner refuses to leave the client's side when asked to do so.4.The client reports excitement about the birth experience.5.Fetal heart rate varies from 130 bpm and 150 bpm.6.Each contraction lasts longer than 90 seconds.

1,3,6

The nurse provides care for a client diagnosed with multiple sclerosis (MS). When completing a physical assessment, which clinical manifestations does the nurse expect to see? (Select all that apply.) 1.Urinary retention.2.Decreased level of consciousness.3.Photophobia.4.Intestinal obstruction.5.Ataxic movements.6.Short term memory loss.

1,5,6

A client seeks emergency care for blood draining from the right ear after being in a motor vehicle crash (MVC). Which action will the nurse take first? 1.Notify the health care provider that the client 's condition could become critical.2.Examine external ear for injuries.3.Ask if the ear hurts.4.Complete appropriate forms.

2

A mother of five children states to the nurse, "The father of my children passed away 3 weeks ago. We had been separated for several years, but the children have taken his death really badly. When will it hit me that he is gone?" Which response by the nurse is appropriate? 1."Did he use drugs? It is known that some drugs can cause a heart attack."2."It is common to experience shock and denial early in grief."3."You certainly have your hands full right now, and you are doing a wonderful job."4."How helpful was he to you in raising and supporting the children?"

2

An older adult client diagnosed with alcoholism receives chlordiazepoxide for 2 days for symptom management. The client says to the nurse, "Get those bugs off of me! " Which action does the nurse take? 1.Stop the chlordiazepoxide.2.Assess the client for tachycardia and tremors. 3.Document an allergy to chlordiazepoxide in the client's health record.4.Notify the health care provider that the client is experiencing delirium.

2

The nurse assesses a client receiving treatment for myxedema. Which observation indicates that treatment is effective? 1.Applies multiple layers of clothing.2.Discusses the family finances with a spouse.3.Is short of breath after climbing the stairs.4.Takes medication every day as prescribed.

2

The nurse assesses a client with diabetes insipidus. Which symptom will the nurse expect to find that is consistent with the diagnosis? 1.Diarrhea.2.Polyuria.3.Fatigue.4.Weight gain.

2

The nurse assumes care of a client returning from surgery after a total abdominal hysterectomy. The client rates the pain as 4 out of 10 on the pain scale. Which intervention by the nurse is most appropriate? 1.Assist the client to a more comfortable position.2.Administer narcotic pain medications as prescribed.3.Encourage the client to watch television or read a book.4.Continue to monitor the client for alterations in pain.

2

The nurse in the outpatient clinic counsels a client diagnosed with genital herpes. The client states, "I do not know how I keep getting reinfected because I am really careful." Which response by the nurse is best? 1."What do you mean, ' I am really careful'?"2."The virus remains in your body in a dormant state."3."Are you sure that you protect yourself adequately?"4."Have you notified all of your sexual contacts?"

2

The nurse on the medical unit reviews laboratory results on four clients. Which result causes the nurse to notify the health care provider? 1.Theophylline level 15 mcg/mL (83.25 µmol/L ) for a client diagnosed with emphysema.2.Digoxin level 2.5 ng/mL (3.2 nmol/L) for a client diagnosed with heart failure.3.International normalized ratio (INR) 2.5 for a client who takes warfarin.4.Lithium level of 1.2 mEq/L (1.2 mmol/L) for a client diagnosed with bipolar disorder.

2

The nurse performs discharge teaching for a client treated for cervical cancer with a cesium 137 implant. The nurse learns that the client works 40 hours per week in a factory and has a toddler and preschooler at home. Which client statement indicates that further teaching is needed? 1."I will call the health care provider if I am still bleeding after a couple of days."2."I will abstain from sexual intercourse and not use tampons for 2 weeks."3."I cannot lift either of my children for 2 months."4."I will take showers for the next 2 weeks."

2

The nurse provides care for a client 18 hours after a left below-the-knee amputation. Which nursing action is most important? 1.Notify the health care provider (HCP) of increased drainage.2.Elevate the residual limb on a pillow or other soft surface.3.Encourage the client to lie in a prone position.4.Perform active range-of-motion (ROM) exercises on the right leg daily. View Explanation

2

The nurse provides care for a client diagnosed with paranoid schizophrenia. The client tells the nurse, "There are really strange people in the corner laughing and saying bad things about me." Which response by the nurse is best? 1."You have no reason to be ashamed."2."That sounds frightening. There is no one in the corner."3."What are they saying to you?"4."Your imagination is playing tricks on you because you are upset."

2

The nurse provides care to a client prescribed to receive a unit of packed RBCs. Which IV solution will the nurse use to infuse with the blood product? 1.A lactated Ringer solution.2.A 0.9% sodium chloride solution.3.A 5% dextrose in 0.45% sodium chloride solution.4.A 0.45% sodium chloride solution.

2

The nurse provides discharge teaching to a client with myasthenia gravis. Which client statement indicates further teaching is needed? 1."I should take a shower and wash my hair in the morning."2."I should use paper and pencil to communicate with my husband."3."I should avoid places that I know will be crowded."4."I should plan my day around an afternoon rest period."

2

The nurse notes a client recovering from a total pancreatectomy has minimal drainage from the nasogastric tube. Which action will the nurse take next? 1.Replace the nasogastric tube.2.Obtain prescription to increase IVF rate.3.Check the tubing for kinks.4.Notify the health care provider.

3

The nurse plans care for a client diagnosed with antisocial personality disorder. The client participates in group therapy. Which action is most important for the nurse to take during the group therapy session? 1.Provide time to explore the client's past.2.Demonstrate acceptance of the client and the client's behavior.3.Set limits on the client in a nonpunitive manner.4.Encourage sublimation of the client's leadership potential.

3

The nurse provides care to a client diagnosed with iron-deficiency anemia. Which findings does the nurse anticipate as characteristic of this disorder? (Select all that apply.) 1.Autoimmune-related disease.2.May occur with removal of duodenum.3.Associated with chronic blood loss.4.Most common type of anemia.5.Lack of intrinsic factor.

2,3,4

The nurse provides care to a client with a suspected latex allergy. Which clinical manifestations noted on the nurse's assessment support this diagnosis? (Select all that apply.) 1.Pruritus of the hands.2.Runny nose.3.Angioedema.4.Bronchospasm.5.Shock.

2,3,4,5

The nurse manager makes rounds on the nursing unit and overhears several staff conversations. Which conversation violates the Health Insurance Portability and Accountability Act (HIPAA) laws necessitating follow-up? (Select all that apply.) 1.The nurse informs the technician conducting a radiology exam that the client has Clostridium difficile.2.The nurse informs an unassigned nurse that a client has acquired immunodeficiency syndrome (AIDS).3.The nurse informs the client's spouse that the client tested positive for chlamydia infection.4.The nurse informs the assigned unlicensed assistive personnel (UAP) that the client has left-sided weakness.5.The nurse informs the assigned UAP that the client diagnosed with pneumonia had an elective abortion 13 years ago.

2,3,5

The nurse assesses a client, diagnosed with rheumatoid arthritis, for self-care readiness. Which activity does the nurse ask the client to perform? 1.Ascend and descend stairs.2.Lace and tie both shoes.3.Comb hair and brush teeth.4.Walk without assistance.

3

The nurse provides care for a client hospitalized for treatment of uncontrollable aggressive impulses. Which observation does the nurse record before beginning a behavior modification plan for the aggressive impulses? 1.The client tells each nurse that she is his favorite nurse.2.The client is flirtatious with female members of the staff.3.The client threatened to hit two other clients within 2 hours.4.The client appears insincere and superficial in his interactions.

3

The nurse provides care for a client who had a lower gastrointestinal (GI) series. The client reports weakness. Which nursing concern is priority in planning the client's care? 1.Insufficient nutritional intake.2.Alteration in sensation-perception, gustatory.3.Potential for hypovolemia.4.Constipation.

3

The nurse provides care for a client who requires neurological checks every 2 hours. The nurse identifies which components as part of the Glasgow Coma Scale (GCS)? (Select all that apply.) 1.Eye-opening response — partially.2.Best motor response — unsteady gait.3.Best verbal response — confused.4.Eye-opening response — none.5.Best verbal response — incomprehensible sounds.6.Best motor response — localizes pain.

3,4,5,6

The nurse provides care for a client with an exacerbation of ulcerative colitis. The nurse determines teaching is effective when the client makes which dietary choice? (Select all that apply.) 1.Meatless chili with lentils and kidney beans.2.A multigrain sandwich with lean turkey and alfalfa sprouts.3.Canned green beans and applesauce.4.Carrots and celery sticks with vegetable dip.5.Grilled cheese sandwich on white bread with creamed tomato soup.6.Roast beef and mashed potatoes.

3,5,6

The nurse admits a school-age client diagnosed with an open wound that tests positive for methicillin-resistant Staphylococcus aureus (MRSA). Which room assignment is appropriate for this client? 1.A semiprivate room with a toddler diagnosed with respiratory syncytial virus.2.A semiprivate room with a preschool client diagnosed with acute respiratory virus.3.A private room that is close to the nurse's station.4.Any private room that is available

4

The nurse assesses a toddler during an annual wellness examination. Which developmentally appropriate intervention does the nurse include when interacting with the toddler? 1.Remove all of the client's clothing before the examination.2.Make sure the parent holds the client for the examination.3.Quickly introduce equipment used for the examination.4.Praise the client for cooperation during the examination. View Explanation

4

The nurse performs discharge teaching for a client who had a lens implant after intracapsular cataract extraction of the right eye. Which information does the nurse include? 1.Rotate the right eye twice a day.2.Irrigate the left eye with warm saline solution daily.3.Take aspirin for mild discomfort. 4.Use dry shampoo for several days.

4

The nurse plans care for a client with Grave disease. The nurse intervenes when the client drinks which fluid? 1.Whole milk.2.Beef broth.3.Orange juice.4.Iced tea.

4

The nurse provides care for a school-age child newly diagnosed with asthma. The nurse teaches the child's parent about the child's return to school. Which instruction does the nurse include in the teaching? 1.Provide the child's teacher with the inhaler and instructions on its use.2.Have the child use the inhaler before going to school to prevent an attack.3.Tell the child to carry the inhaler and spacer in a pocket at all times.4.Provide the school nurse with an inhaler, spacer, prescription, and directions for use.

4