A nurse is teaching a client who has asthma the appropriate use of inhaled fluticasone. What advice should the nurse give to help the client avoid complications with the use of inhaled steroids?

Check the pulse after taking the medication.

Take the medication before eating.

Limit your caffeine intake.

Rinse your mouth after inhaling the medicine.

Answer and Explanation

The Correct Answer is D

a) Checking the pulse is not directly related to the use of inhaled steroids. It's important for assessing certain medications, but not for inhaled steroids.

b) Taking the medication before eating is not a specific recommendation for inhaled steroids. It's more important to follow the specific instructions provided for the particular medication.

c) Limiting caffeine intake is not a standard recommendation for the use of inhaled steroids. This action is not directly related to potential complications with these medications.

d) Rinsing the mouth after inhaling the medicine is crucial to prevent the development of oral candidiasis, a common complication associated with inhaled steroids.

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Correct Answer is B

Explanation

a) Avoiding alcohol and herbal remedies is a correct instruction because they can interact with warfarin and increase the risk of bleeding.

b) Stopping warfarin abruptly without healthcare provider guidance can be dangerous and increase the risk of thrombosis. Signs of bleeding should be reported promptly to the healthcare provider for appropriate management.

c) Being consistent with the intake of leafy greens is important to maintain a stable INR, as these foods contain vitamin K, which can interfere with warfarin.

d) Regular INR monitoring is essential to ensure that the client is within the therapeutic range and to make adjustments to the warfarin dosage if necessary.

A. Pregnant women who stop their routine asthma medications may double their chances of a stillbirth. B. Women should stop all routine medications as soon as they become pregnant. C. Pregnant women should resume all medicines in their second trimester. D. There is no need for concern, as asthma medications will not affect the fetus.

Correct Answer is C

Explanation

A) Stopping routine asthma medications may actually increase the risk of complications, including exacerbation of asthma and potential harm to the baby.

B) Stopping all routine medications is not recommended without consulting a healthcare provider.

C) Many asthma medications are considered safe during pregnancy, and managing asthma is important for both maternal and fetal health.

D) There is a need for concern, and it is essential for pregnant women with asthma to work with their healthcare providers to manage their condition appropriately.

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A nurse is teaching a client who has asthma the appropriate use of inhaled fluticasone. What advice should the nurse give to help the client avoid complications with the use of inhaled steroids?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing discharge teaching for a client who will be going home on warfarin. Which of these client statements indicates the need for further instruction?

Correct Answer is B

Explanation

A pregnant client stopped using her routine asthma medications because she doesn't want to harm her baby. Which of the following is true regarding asthma medication use during pregnancy?

Correct Answer is C

Explanation

A client who is recovering from total knee surgery is preparing for discharge. Which of these statements indicates the client needs further teaching?

What should the nurse include in a client's discharge teaching when going home with a prescription for digoxin 0.125 mg by mouth once daily?

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The nurse reinforces instructions regarding when to take levothyroxine and determines teaching was effective when the client states the medication should be taken in which manner?

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