A client is diagnosed with asthma. The therapeutic regimen using metered dose inhalers includes albuterol 2 puffs and beclomethasone 2 puffs. The nursing plan of care must include teaching regarding:

Effective coughing after medication administration.

Rinsing the mouth after beclomethasone administration.

Using beclomethasone as needed when breathing normally.

Taking the beclomethasone first, followed by the albuterol.

Answer and Explanation

The Correct Answer is B

Choice A reason: Effective coughing after medication administration is not specifically required for the use of metered dose inhalers like albuterol and beclomethasone. While coughing can help clear mucus from the airways, it is not a necessary step in the administration of these medications. The primary focus should be on proper inhaler technique to ensure the medication reaches the lungs effectively.

Choice B reason: Rinsing the mouth after beclomethasone administration is crucial. Beclomethasone is an inhaled corticosteroid, and rinsing the mouth helps prevent oral thrush, a common side effect of inhaled steroids. Thrush is a fungal infection that can develop in the mouth and throat due to the residue of the medication. Proper rinsing and spitting out the water can significantly reduce the risk of this infection.

Choice C reason: Using beclomethasone as needed when breathing normally is incorrect. Beclomethasone is a maintenance medication that should be used regularly as prescribed, not on an as-needed basis. It helps control chronic inflammation in the airways and prevent asthma symptoms. Using it only when symptoms are not present would not provide the consistent anti-inflammatory effect needed to manage asthma effectively.

Choice D reason: Taking the beclomethasone first, followed by the albuterol, is incorrect. The correct sequence is to use the albuterol first. Albuterol is a bronchodilator that works quickly to open up the airways, making it easier for the beclomethasone to reach deeper into the lungs and be more effective

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Correct Answer is C

Explanation

Choice A reason: Asking if the client has ever had pneumonia does not confirm a diagnosis of chronic bronchitis. Pneumonia is an acute infection of the lungs, whereas chronic bronchitis is a long-term condition characterized by persistent inflammation of the airways. While a history of pneumonia might be relevant to the client’s overall respiratory health, it is not specific to diagnosing chronic bronchitis.

Choice B reason: Inquiring about a recent bronchoscopy does not confirm chronic bronchitis. Bronchoscopy is a diagnostic procedure used to visualize the airways and collect samples, but it is not a criterion for diagnosing chronic bronchitis. The diagnosis is based on clinical symptoms and history rather than recent procedures.

Choice C reason: The question about a consistent cough for three months in the last two years directly relates to the diagnostic criteria for chronic bronchitis. Chronic bronchitis is defined by a productive cough that lasts for at least three months in two consecutive years. This question helps to confirm the chronic nature of the client’s symptoms, which is essential for diagnosis.

Choice D reason: Asking if the client has had the flu in the past year does not confirm chronic bronchitis. Influenza is a viral infection that can cause acute respiratory symptoms, but it is not related to the chronic inflammation seen in chronic bronchitis. This question might be relevant for understanding the client’s recent health history but does not aid in diagnosing chronic bronchitis.

A. Red-colored urine B. Black-colored stools C. Constipation D. Staining of teeth

Correct Answer is A

Explanation

Choice A reason: Red-colored urine is a common and expected side effect of rifampin. This medication can cause a reddish-orange discoloration of bodily fluids, including urine, sweat, saliva, and tears. This effect is harmless but can be alarming to patients if they are not forewarned. It is important for the nurse to inform the client about this side effect to prevent unnecessary concern.

Choice B reason: Black-colored stools are not typically associated with rifampin. Black stools can indicate gastrointestinal bleeding, which is a serious condition that requires immediate medical attention. This side effect is more commonly linked to medications like iron supplements or bismuth-containing compounds.

Choice C reason: Constipation is not a common side effect of rifampin. While gastrointestinal disturbances such as nausea, vomiting, and diarrhea can occur, constipation is not typically associated with this medication.

Choice D reason: Staining of teeth is not a known side effect of rifampin. This side effect is more commonly associated with medications like tetracycline antibiotics, which can cause discoloration of teeth, especially in children.

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A client is diagnosed with asthma. The therapeutic regimen using metered dose inhalers includes albuterol 2 puffs and beclomethasone 2 puffs. The nursing plan of care must include teaching regarding:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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