The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth (PO) three times a day for postherpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider?

A. Clients using the discus may experience decreased blood pressure:
Fluticasone propionate and salmeterol are a combination of a corticosteroid and a long-acting beta-agonist. While they help control asthma, they are not typically associated with decreased blood pressure. Instead, potential side effects might include increased heart rate or hypertension.

B. Explain that the client should not use the discus more than twice daily:
Fluticasone propionate and salmeterol combination inhalers are usually prescribed for twice-daily use to maintain control of asthma symptoms. Using the inhaler more frequently than prescribed could lead to increased side effects or diminished effectiveness.

C. When using the discus, have the client breathe out rapidly into the mouthpiece:
The correct technique for using a dry powder inhaler involves inhaling deeply and forcefully to ensure the medication reaches the lungs. Breathing out rapidly into the mouthpiece is incorrect and will not deliver the medication effectively.

D. Offer the discus to the client for use during an acute asthma attack:
The discus is used for long-term control and prevention of asthma symptoms, not for immediate relief during an acute asthma attack. A rescue inhaler, typically containing a short-acting beta-agonist like albuterol, is used for acute symptoms.

A. A quiet, restful environment:
While a quiet and restful environment may be beneficial for general comfort, it does not specifically address the visual issues related to the use of mydriatic medications. Mydriatics cause pupil dilation, which can increase sensitivity to light, so a dimly lit room is more appropriate for managing light sensitivity.

B. A dimly lit room:
A dimly lit room is best for a client receiving mydriatic medication because mydriatics cause pupil dilation, which can lead to increased sensitivity to light and difficulty with bright environments. Reducing light exposure helps manage these symptoms and improve comfort.

C. A warm room temperature:
While maintaining a comfortable room temperature is important, it does not specifically address the visual discomfort caused by mydriatic medications. The primary concern here is light sensitivity, which is better managed with dim lighting rather than room temperature.

D. Cool, humidified air:
Cool, humidified air can be helpful for certain respiratory conditions or comfort but does not directly address the issue of light sensitivity associated with mydriatic medication use. The focus should be on managing light exposure rather than air quality.