A patient has prescriptions for two inhalers. One inhaler is a bronchodilator, and the other is a corticosteroid. Which instruction regarding these inhalers will the nurse give to the patient?
Take the bronchodilator inhaler first.
Take the corticosteroid inhaler first.
Take these two drugs at least 2 hours apart.
It does not matter which inhaler you use first.
The Correct Answer is A
Choice A reason: Taking the bronchodilator inhaler first will help to open up the airways and make it easier for the corticosteroid inhaler to reach the lungs and reduce inflammation. This will improve the effectiveness and safety of the inhalers.
Choice B reason: Taking the corticosteroid inhaler first may not be as effective as taking the bronchodilator inhaler first, because the airways may be constricted and prevent the corticosteroid from reaching the lungs. This may reduce the anti-inflammatory effect of the corticosteroid and increase the risk of side effects.
Choice C reason: Taking these two drugs at least 2 hours apart is not necessary and may not be practical for the patient. The bronchodilator and the corticosteroid can be taken together, as long as the bronchodilator is taken first.
Choice D reason: It does matter which inhaler the patient uses first, because the order of the inhalers can affect their efficacy and safety. The patient should always use the bronchodilator inhaler first, followed by the corticosteroid inhaler.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: 0.2 tablets is not the correct answer. To convert mg to mcg, multiply by 1000. Therefore, 0.175 mg is equal to 175 mcg. To find the number of tablets, divide the dose by the amount available. Therefore, 175 mcg / 8 mcg = 21.875 tablets. Round this to the nearest whole number, which is 22 tablets.
Choice B reason: 2 tablets is not the correct answer. This is the result of dividing the dose by 100 instead of 1000, which is incorrect.
Choice C reason: 20 tablets is not the correct answer. This is the result of rounding down instead of up, which is incorrect.
Choice D reason: 22 tablets is the correct answer. This is the result of converting the dose to mcg, dividing by the amount available, and rounding to the nearest whole number.
Correct Answer is B
Explanation
Choice A reason: This is incorrect because NPH insulin is normally cloudy and should be gently mixed before use. However, the nurse should discard the solution if it has clumps, flakes, or crystals.
Choice B reason: This is correct because NPH insulin is an intermediate-acting insulin that has a slower onset and longer duration than short-acting or rapid-acting insulins. The nurse should explain to the client that NPH insulin provides basal coverage and may need to be combined with other types of insulin to control blood glucose levels.
Choice C reason: This is incorrect because freezing insulin can damage its potency and effectiveness. The nurse should instruct the client to store unopened insulin vials in the refrigerator and opened vials at room temperature.
Choice D reason: This is incorrect because shaking insulin can cause air bubbles and frothing, which can affect the accuracy of the dose. The nurse should instruct the client to roll the insulin vial between the palms of the hands to mix it gently.
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