A client who has asthma receives a new prescription for a corticosteroid inhaler. The client expresses concern about taking steroid medications. Which information should the nurse provide the client about the use of this maintenance inhaler?
Oral care is not required after each use of the inhaler.
Inhaled medications are easier to take than oral forms.
No weaning is required when stopping the use of this inhaler.
Systemic side effects are reduced when taken by inhalation.
The Correct Answer is D
Rationale:
A. Oral care is not required after each use of the inhaler: Oral care is essential to prevent oral candidiasis, a common side effect of inhaled corticosteroids due to local immune suppression in the mouth.
B. Inhaled medications are easier to take than oral forms: Inhalers may be challenging for some clients due to required coordination and technique. The ease of use varies by individual and does not address the concern about steroid side effects.
C. No weaning is required when stopping the use of this inhaler: Although inhaled steroids have fewer systemic effects, abrupt discontinuation may still cause rebound inflammation. While tapering is less critical than with systemic steroids, medical guidance is advised.
D. Systemic side effects are reduced when taken by inhalation: Inhaled corticosteroids act locally in the lungs and minimize systemic absorption, significantly reducing the risk of side effects like adrenal suppression or osteoporosis seen with oral steroids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
Heart rate: 120 bpm = 2
Respirations: 44/min with a loud cry = 2
Muscle tone: slight flexion with some resistance = 1
Reflex irritability: loud cry with stimulation = 2
Color: acrocyanosis (blue extremities) = 1
Total = 2 + 2 + 1 + 2 + 1 = 8
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
Rationale for Correct Choices
- Quality of life: Quality of life encompasses the client’s emotional well-being, ability to engage in meaningful activities, and overall life satisfaction. Since the client expressed distress over social isolation and being restricted from activities she previously enjoyed, assessing this domain is essential to determine the impact of the intervention.
- Functional improvement: The client previously reported being active and independent. Monitoring progress in strength, mobility, and independence in ADLs—especially with the addition of physical and occupational therapy—is crucial for measuring the effectiveness of care and promoting client autonomy.
Rationale for Incorrect Choices
- Financial security: There are no concerns or reports related to the client’s access to funds, misuse of money, or financial stress. The care plan and outcomes are not centered around her financial state.
- Cognitive status: Although the client has early-stage dementia, she is currently alert, oriented, and capable of participating in discussions. The interventions aim to improve physical function and well-being rather than targeting cognitive decline at this stage.
- Psychological assessment: The scenario does not describe symptoms of depression, anxiety, or emotional distress requiring formal psychological evaluation. The focus is more on restoring physical function and improving day-to-day satisfaction.
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