A nurse is providing discharge teaching to a client who has asthma and a new prescription for ﬂuticasone/salmeterol. For which of the following adverse eﬀects should the nurse instruct the client to report to the provider?

Dry oral mucous membranes

White coating in the mouth

Sedation

Increased appetite

Answer and Explanation

The Correct Answer is B

White coating in the mouth, also known as oral candidiasis or thrush, is a serious adverse eﬀect of ﬂuticasone/salmeterol, which is a combination of an inhaled corticosteroid and a long-acting beta2 agonist. It is caused by fungal infection of the oral cavity due to suppression of the normal ﬂora by the corticosteroid component. The client should report this symptom to the provider, as it may require antifungal treatment and discontinuation of the medication.

a) Dry oral mucous membranes is a common and mild adverse eﬀect of ﬂuticasone/salmeterol, which can be relieved by drinking water, chewing sugarless gum, or using artificial saliva. It does not require reporting to the provider or stopping the medication.
c) Sedation is not an adverse eﬀect of ﬂuticasone/salmeterol, but it may be caused by other medications, such as antihistamines, opioids, or benzodiazepines. The client should avoid driving or operating machinery if sedated and consult with the provider about possible drug interactions.
d) Increased appetite is not an adverse eﬀect of ﬂuticasone/salmeterol, but it may be caused by other factors, such as stress, boredom, or hormonal changes. The client should maintain a balanced diet and exercise regularly to prevent weight gain and promote health.

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Correct Answer is ["A","D"]

Explanation

Answer: A, D

Rationale:

A. The medication will prevent wheezing: Albuterol is a bronchodilator, specifically a beta-2 agonist, that relaxes smooth muscles in the airways. This action helps prevent wheezing by reducing airway constriction, making breathing easier for the client.
B. The medication will decrease coughing episodes: While albuterol can help reduce cough indirectly by improving airflow and decreasing airway irritation, it is not primarily used to decrease coughing episodes. Other medications, such as corticosteroids, are often more effective for controlling chronic cough related to inflammation.
C. The medication will reduce inflammation: Albuterol does not have anti-inflammatory properties. Its primary mechanism is bronchodilation, and anti-inflammatory treatment generally requires corticosteroids, not beta-agonists like albuterol.
D. The medication will open the airways: Albuterol works by relaxing bronchial muscles, leading to bronchodilation and allowing the airways to open. This reduces shortness of breath and improves airflow, a primary reason for its use in conditions like asthma.
E. The medication will stimulate flow of mucus: Albuterol does not stimulate mucus production; it primarily works by relaxing the airways. However, by improving airflow, it can help clients more effectively expel mucus through coughing.

A. Dyspnea B. Barrel chest C. Deep respirations D. Clubbing of the fingers E. Bradycardia

Correct Answer is ["D"]

Explanation

Clubbing of the fingers is a sign of chronic hypoxia, which occurs in emphysema due to impaired gas exchange and reduced oxygen delivery to the tissues.

The other options are not correct because:

Dyspnea is a common symptom of emphysema, but it is not a specific finding that indicates the presence of the condition.
Barrel chest is a result of hyperinﬂation of the lungs, which can occur in emphysema, but it can also be seen in other respiratory disorders such as asthma or cystic fibrosis.
Deep respirations are not typical of emphysema, as the client tends to breathe shallowly and rapidly to minimize the work of breathing.
Bradycardia is not associated with emphysema, as the client usually has tachycardia due to increased sympathetic stimulation and reduced cardiac output.

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A nurse is providing discharge teaching to a client who has asthma and a new prescription for ﬂuticasone/salmeterol. For which of the following adverse eﬀects should the nurse instruct the client to report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who asks how albuterol helps his breathing. Which of the following responses should the nurse make? (Select all that apply.)

Correct Answer is ["A","D"]

Explanation

A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? (Select all that apply)

Correct Answer is ["D"]

Explanation

A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? (Select all that apply.)

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