A patient with chronic obstructive pulmonary disease (COPD) is being discharged home with a new prescription for an inhaled bronchodilator.
Which instruction should the nurse include in the discharge teaching?
Use the inhaler before engaging in physical activity.
Skip doses if symptoms improve.
Use the inhaler only when experiencing severe symptoms.
Double the dose if symptoms do not improve immediately.
The Correct Answer is A
Choice A rationale
Using the inhaler before engaging in physical activity helps to prevent exercise-induced bronchospasm, which is common in patients with COPD.
Choice B rationale
Skipping doses if symptoms improve is not recommended as it can lead to suboptimal control of COPD and potential exacerbations.
Choice C rationale
Using the inhaler only when experiencing severe symptoms is not effective in managing COPD. Regular use as prescribed helps maintain lung function and prevent exacerbations.
Choice D rationale
Doubling the dose if symptoms do not improve immediately is not safe and can lead to adverse effects. Patients should follow the prescribed dosage and consult their healthcare provider if symptoms persist.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Chest pain is not typically associated with benign prostatic hyperplasia (BPH). BPH affects the prostate gland, leading to urinary symptoms rather than cardiovascular symptoms.
Choice B rationale
Joint stiffness is not a symptom of BPH. Joint stiffness is more commonly associated with musculoskeletal conditions such as arthritis.
Choice C rationale
Frequent urination is a common symptom of BPH. The enlarged prostate gland can press against the urethra, causing increased frequency of urination, especially at night.
Choice D rationale
Blurred vision is not a symptom of BPH. Blurred vision can be caused by various conditions affecting the eyes but is not related to the prostate.
Correct Answer is C
Explanation
Choice A rationale
Clamping the chest tube can cause increased pressure in the pleural space and is not appropriate without specific indications.
Choice B rationale
Increasing the wall suction may not relieve the burning sensation and could potentially cause harm.
Choice C rationale
Repositioning the client can help alleviate the burning sensation by adjusting the position of the chest tube and the lung.
Choice D rationale
Stripping the chest tube is not recommended as it can increase intrathoracic pressure and cause damage.
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