A client is being discharged after receiving IV chemotherapy for cancer. Which statement indicates a need for additional teaching?

A. Tiotropium (Spiriva) works by relaxing and dilating the bronchioles

Tiotropium is an anticholinergic bronchodilator used in the management of chronic obstructive pulmonary disease (COPD). It works by blocking the action of acetylcholine, a neurotransmitter, leading to relaxation and dilation of the bronchioles, which helps improve airflow in the lungs.

B. If you experience dry mouth, stop taking the medication immediately

Dry mouth is a common side effect of tiotropium but is not a reason to stop taking the medication. The nurse may advise the patient to manage dry mouth with measures such as increased water intake or using sugar-free gum.

C. Use tiotropium (Spiriva) as needed for sudden breathing problems

Tiotropium is typically used as a maintenance medication for long-term control of COPD symptoms, not as a rescue medication for sudden breathing problems. Short-acting bronchodilators are often prescribed for acute symptom relief.

D. Remove the capsules from the packaging and place in your 7-day med box

Tiotropium is available in a dry powder inhalation capsule, and it should be used with the inhalation device provided. Removing the capsules from the packaging and placing them in a weekly medication box is not the correct method for administration.

A. Glucocorticoid

Glucocorticoids are anti-inflammatory medications commonly used as long-term control medications in asthma management. They are not typically considered rescue inhalers. They work gradually over time to reduce inflammation and are not suitable for immediate relief during an acute asthma attack.

B. Mast cell stabilizer

Mast cell stabilizers are anti-inflammatory medications that work by preventing the release of inflammatory substances from mast cells. They are used as maintenance therapy to prevent asthma symptoms but are not rescue inhalers. They do not provide quick relief during acute episodes.

C. Mucolytic agent

Mucolytic agents are medications that help thin and loosen mucus in the airways. While they may be used to improve respiratory symptoms, they are not considered rescue inhalers. They do not provide rapid bronchodilation and are typically used for different purposes, such as addressing mucus production and clearance.

D. Short-acting beta 2 agonist

This is the correct answer. Short-acting beta 2 agonists (SABAs) are bronchodilators that provide quick relief during acute bronchoconstriction. They act by relaxing the smooth muscles in the airways, allowing for rapid dilation and improved airflow. SABAs are commonly used as rescue inhalers to alleviate symptoms during asthma attacks or sudden exacerbations.