The practical nurse (PN) is caring for a client with a new prescription for fluticasone furoate nasal spray, a glucocorticoid prescribed for the client's nasal allergy symptoms. In reinforcing instructions about self-administration of the nasal spray, the PN should emphasize the need for the client to take which action before self-administration?
Deep breathe and cough.
Check glucose levels before and after administration.
Exhale through the mouth.
Gently blow the nose.
The Correct Answer is D
Gently blowing the nose helps to clear any mucus or debris from the nasal passages, allowing for better delivery and absorption of the medication. It also helps to ensure that the nasal passages are clear and open, allowing the medication to reach its intended target.
A. Deep breathing and coughing are unrelated to the administration of nasal spray and are not necessary before using the medication.
B. Checking glucose levels before and after administration is not relevant for fluticasone furoate nasal spray. Glucocorticoid nasal sprays are not typically associated with significant effects on blood glucose levels.
C. Exhaling through the mouth is not a specific action required before using the nasal spray. It may be a general instruction for some other respiratory therapies or procedures, but it is not directly related to the administration of the nasal spray.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Immune thrombocytopenic purpura (ITP) is a condition characterized by low platelet levels in the blood, which can lead to an increased risk of bleeding and bruising. Patients with ITP are at risk of spontaneous bleeding, and any injury can be potentially serious.
Ensuring the client has minimal clutter in the room is essential to reduce the risk of accidental falls and injuries. Falls and bumps can lead to bruising or bleeding, which can be particularly problematic in individuals with low platelet counts.
Incorrect:
A. Assessing the client for nerve pain or paralysis is important in the overall care of the patient, but it may not directly address the prevention of injury in this situation.
C. Evaluating the client's neurological status after exercising is also essential for assessing their overall health and well-being but may not directly prevent injury.
D. Monitoring the client's blood cell laboratory values, including platelet levels, is crucial for managing ITP, adjusting treatment if needed, and ensuring the client's condition remains stable. However, while important, this action is not directly related to preventing immediate injury in the care facility.
Correct Answer is D
Explanation
This is the correct answer because it allows the practical nurse (PN) to assess the parents' knowledge and understanding of hypospadias, and to provide accurate and relevant information based on their needs.
Hypospadias is a birth defect in boys in which the opening of the urethra is not located at the tip of the penis, but on the underside of the penis or in the scrotum²³. It is a common condition that affects about one in every 250 males at birth. Hypospadias does not resolve on its own and usually require surgical correction to prevent complications such as urinary tract infections, difficulty with urination and sexual function, and psychological distress¹². The PN should explain these facts to the parents and encourage them to discuss their concerns and questions with the health care provider. The PN should also provide emotional support and empathy to the parents, as they may feel anxious or guilty about their child's condition.
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