A nurse is teaching a client who has chronic obstructive pulmonary disease and is to start using fluticasone by MDI twice daily. Which of the following instructions should the nurse include?
"Skip the morning dose if you do not have any symptoms."
"Use this medication to relieve an acute attack."
"Check your heart rate before each dose."
"Inspect your mouth for lesions daily."
The Correct Answer is D
A. Fluticasone should be used regularly to prevent symptoms, not skipped based on symptom presence.
B. Fluticasone is a maintenance medication and is not effective for acute attacks.
C. Checking heart rate is not necessary with fluticasone use.
D. Inspecting the mouth for lesions daily is important to detect oral thrush, a potential side effect of inhaled corticosteroids.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Reviewing at the nurses' station ensures understanding but is not the final check.
B. Documentation occurs after administration and is not part of the final check.
C. Checking the medication in the area where it was obtained is important but not the final check.
D. Performing the final check at the client's bedside before administration ensures the correct medication is given to the correct client, preventing medication errors.
Correct Answer is C
Explanation
A. Omeprazole is not primarily prescribed to enhance nutrient absorption; its main action is to reduce gastric acid secretion.
B. Omeprazole does not specifically affect carbohydrate digestion.
C. Omeprazole is a proton pump inhibitor that reduces the production of gastric acid, which can help alleviate symptoms and promote healing in acute pancreatitis.
D. Omeprazole's primary action is not to reduce the risk of pancreatic infection; it is primarily used to decrease gastric acid production.
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