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Ati RN Pharmacology 2019 - Exam 3
Ati RN Pharmacology 2019 - Exam 3 ( 60 Questions)
A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (Select all that apply.)
The nurse should teach the guardian to shake the device prior to administration to ensure that the medication is well mixed and delivered in the right dose.
Soaking the inhaler in water is not a recommended action as this can damage the device and affect its function.
The nurse should also teach the guardian to use a spacer with the inhaler, which is a device that attaches to the mouthpiece and helps deliver the medication more effectively to the lungs.
The nurse should also not teach the guardian to have the child take one inhalation as needed for shortness of breath, as fluticasone is a long-acting corticosteroid that is used for maintenance therapy and prevention of asthma symptoms, not for acute relief. The child should have a separate rescue inhaler, such as albuterol, for quick relief of bronchospasm.
The nurse should instruct the guardian to rinse the child's mouth with water after using the inhaler to prevent oral candidiasis, which is a fungal infection that can occur from the steroid medication.
Choice A rationale:
The nurse should teach the guardian to shake the device prior to administration to ensure that the medication is well mixed and delivered in the right dose.
Choice B rationale:
Soaking the inhaler in water is not a recommended action as this can damage the device and affect its function.
Choice C rationale:
The nurse should also teach the guardian to use a spacer with the inhaler, which is a device that attaches to the mouthpiece and helps deliver the medication more effectively to the lungs.
Choice D rationale:
The nurse should also not teach the guardian to have the child take one inhalation as needed for shortness of breath, as fluticasone is a long-acting corticosteroid that is used for maintenance therapy and prevention of asthma symptoms, not for acute relief. The child should have a separate rescue inhaler, such as albuterol, for quick relief of bronchospasm.
Choice E rationale
The nurse should instruct the guardian to rinse the child's mouth with water after using the inhaler to prevent oral candidiasis, which is a fungal infection that can occur from the steroid medication.