A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (Select all that apply.)
"Shake the device prior to administration."
"Soak the inhaler in waver after use."
"A spacer will make it easier to use the device."
"Have your child take one inhalation as needed for shortness of breath."
"Rinse your child's mouth following administration.
Correct Answer : A,C,E
Choice A rationale:
The nurse should teach the guardian to shake the device prior to administration to ensure that the medication is well mixed and delivered in the right dose.
Choice B rationale:
Soaking the inhaler in water is not a recommended action as this can damage the device and affect its function.
Choice C rationale:
The nurse should also teach the guardian to use a spacer with the inhaler, which is a device that attaches to the mouthpiece and helps deliver the medication more effectively to the lungs.
Choice D rationale:
The nurse should also not teach the guardian to have the child take one inhalation as needed for shortness of breath, as fluticasone is a long-acting corticosteroid that is used for maintenance therapy and prevention of asthma symptoms, not for acute relief. The child should have a separate rescue inhaler, such as albuterol, for quick relief of bronchospasm.
Choice E rationale
The nurse should instruct the guardian to rinse the child's mouth with water after using the inhaler to prevent oral candidiasis, which is a fungal infection that can occur from the steroid medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
No explanation
Correct Answer is D
Explanation
Choice A rationale:
A history of nausea with cefuroxime is a common side effect and may not be the highest priority to report.
Choice B rationale:
A BUN level of 18 mg/dL is within the normal range and may not be an immediate concern.
Choice C rationale:
Taking aspirin daily may have some interactions with cefuroxime, but a history of a severe penicillin allergy is more critical to report.
Choice D rationale:
Cefuroxime is a cephalosporin antibiotic, and individuals with a severe penicillin allergy may have an increased risk of cross-reactivity with cephalosporins. This history should be reported to the provider for further assessment and consideration of alternative antibiotics.
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