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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.75"]
Explanation
To calculate the volume of medication to administer, we can use the following conversion: 1 mg = 1000 mcg
Given that the prescribed dose is 150 mcg/day, we need to convert it to milligrams: 150 mcg = 150/1000 mg = 0.15 mg
Since the medication is available in 0.2 mg/mL vials, we can calculate the volume to administer using the following equation:
Volume (mL) = Dose (mg) / Concentration (mg/mL) Volume (mL) = 0.15 mg / 0.2 mg/mL
Volume (mL) = 0.75 mL
Therefore, the practical nurse (PN) should administer 0.75 mL of the medication.
Correct Answer is A
Explanation
This is the information that the PN should collect during the admission assessment of a terminally ill client to an acute care facility. Health care proxy documentation is a legal document that appoints a person to make health care decisions for the client when they are unable to do so themselves. It is important to have this information in case the client's condition deteriorates and they need end-of-life care.

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