A nurse is assisting in the care of a client.
Click to highlight the instructions the nurse should reinforce to the client.
|
Prescribed Medication |
Nursing Instruction |
|
Albuterol |
Take your albuterol when you are having difficulty breathing. Hold your breath for 20 seconds when taking your albuterol. |
|
Salmeterol |
Take the salmeterol 5 minutes before the albuterol when you need both medications. Take the salmeterol 2 times each day. |
|
Fluticasone |
Rinse out your mouth after taking the fluticasone. Take the fluticasone as needed for an asthma attack. |
Take your albuterol when you are having difficulty breathing.
Hold your breath for 20 seconds when taking your albuterol.
Take the salmeterol 5 minutes before the albuterol when you need both medications.
Take the salmeterol 2 times each day.
Rinse out your mouth after taking the fluticasone.
Take the fluticasone as needed for an asthma attack.
The Correct Answer is ["A","D","E"]
Albuterol
"Take your albuterol when you are having difficulty breathing.": Albuterol is a short-acting beta-agonist (SABA) used as a rescue inhaler for acute symptoms such as wheezing and shortness of breath.
"Hold your breath for 20 seconds when taking your albuterol.": This is incorrect as holding the breath for 10 seconds after inhalation is sufficient to allow the medication to reach the lungs. Holding it longer is unnecessary and impractical.
Salmeterol
"Take the salmeterol 2 times each day.": Salmeterol is a long-acting beta-agonist (LABA) intended for long-term control of asthma symptoms, not for acute attacks. It should be taken twice daily as prescribed.
"Take the salmeterol 5 minutes before the albuterol when you need both medications.": This is incorrect because salmeterol is not a rescue medication and should not be used for immediate relief. Albuterol should be taken first if both medications are prescribed together, allowing the airways to open for better absorption of salmeterol.
Fluticasone
"Rinse out your mouth after taking the fluticasone.": Fluticasone is an inhaled corticosteroid, and rinsing the mouth helps prevent oral thrush, a common side effect.
"Take the fluticasone as needed for an asthma attack.": This is incorrect because fluticasone is a maintenance medication for inflammation and is not effective for acute asthma attacks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Withdraw the NPH insulin last: When mixing insulin, the regular (clear) insulin should be drawn into the syringe first, followed by the NPH (cloudy) insulin to avoid contaminating the regular insulin.
B. Mix the medications in a 3-mL syringe: While mixing is correct, the syringe size is not specifically relevant unless the total dose exceeds the syringe capacity. A standard insulin syringe should be used.
C. Administer the medications in two separate syringes: This is unnecessary when mixing regular and NPH insulin is appropriate.
D. Inject air into the regular vial first: Air should be injected into the NPH vial first, then the regular vial.
Correct Answer is D
Explanation
A. Dry cough: This is not typically associated with lithium toxicity and may indicate another issue, such as a respiratory infection.
B. Elevated blood pressure: Lithium toxicity usually results in hypotension, not elevated blood pressure.
C. Stooped posture: This is not a typical sign of lithium toxicity.
D. Slurred speech: Slurred speech can be an early sign of lithium toxicity, indicating that the medication level is too high.
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