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 D

Explanation

a) Pain in a client with a history of rheumatoid arthritis is important but may not require immediate attention compared to potential complications of medication administration.

b) Preparing a client for a chlorhexidine scrub is important, but it is not an immediate priority compared to potential complications related to medication and vital signs.

c) A client who cannot have anything by mouth before surgery and received insulin glargine the night before needs monitoring, but it may not require immediate assessment compared to the potential complications of the client receiving digoxin with a blood pressure of 100/75 mmHg.

d) The client receiving digoxin with a blood pressure of 100/75 mmHg is at risk for toxicity, as low blood pressure may increase the concentration of digoxin. This client should be assessed first to prevent potential complications.

A. Ibuprofen B. Lithium C. Methotrexate D. Nicotine

Correct Answer is A

Explanation

Rationale for A: Ibuprofen is generally considered safe for use while breastfeeding, as it passes into breast milk in small amounts that are not expected to harm the infant.

Rationale for B: Lithium can have serious effects on a breastfeeding infant, as it can cause lethargy and developmental issues. Its use is generally not recommended during breastfeeding.

Rationale for C: Methotrexate is contraindicated during breastfeeding due to its potential toxicity and harmful effects on the infant, including possible effects on growth and development.

Rationale for D: Nicotine is harmful to infants and can affect their development. Smoking or using nicotine products while breastfeeding is discouraged due to the associated risks.

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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

The nurse is caring for four different clients. Which of these clients should the nurse assess first?

Correct Answer is D

Explanation

The nurse is talking with a new mother about medications that can be safely resumed now that she is no longer pregnant. All the following medications are contraindicated during pregnancy, but which one may be ingested while breastfeeding without causing known infant harm?

Correct Answer is A

Explanation

Which variables can help determine the client's response to a drug? (Select all that apply.)

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Which of these statements best describes the concept of half-life?