A client with a history of chronic obstructive pulmonary disease receives a new prescription for a bronchodilator inhaler. Which statement by the client indicates correct understanding of the inhaler’s use?

If I have sudden shortness of breath, I will use this inhaler

When I cough up sputum, the secretions should be less thick

I should use this inhaler every day

I will use my other inhaler in between uses

Answer and Explanation

The Correct Answer is C

Choice A reason: Using a bronchodilator for sudden shortness of breath applies to rescue inhalers like albuterol, not maintenance bronchodilators (e.g., tiotropium) for COPD, which are used daily. This statement indicates misunderstanding, as maintenance inhalers prevent symptoms, not treat acute dyspnea.

Choice B reason: Thinner sputum is not a primary effect of bronchodilators, which relax airway smooth muscles to improve airflow in COPD. Mucolytics, not bronchodilators, reduce sputum viscosity. This statement reflects incorrect understanding, as bronchodilators target bronchoconstriction, not secretion consistency.

Choice C reason: Daily use of a maintenance bronchodilator, like tiotropium, is correct for COPD to prevent bronchospasm and maintain airway patency. This statement shows proper understanding, as consistent use reduces exacerbations and improves lung function, aligning with standard COPD management protocols.

Choice D reason: Using another inhaler between doses suggests confusion about maintenance versus rescue inhalers. Maintenance bronchodilators are used daily, not interspersed with others. This indicates misunderstanding, as proper scheduling is essential for effective COPD control with prescribed bronchodilators.

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Correct Answer is B

Explanation

Choice A reason: Delegating oral care to UAP is appropriate for routine hygiene in AIDS patients with candidiasis. Leaving oral care solely to the nurse is unnecessary unless complex treatments are required. A soft-bristled toothbrush ensures safe, effective cleaning, supporting UAP involvement in standard oral hygiene.

Choice B reason: A soft-bristled toothbrush is ideal for oral care in candidiasis, as it gently cleans without traumatizing painful ulcers. In AIDS, oral hygiene reduces fungal load and discomfort. This instruction ensures safe, effective care by UAP, aligning with standard hygiene practices for mucosal infections.

Choice C reason: Sterile gloves are unnecessary for routine oral care, as candidiasis is not highly contagious in this context. Standard precautions, including clean gloves, suffice for UAP performing hygiene. Requiring sterile gloves is excessive, complicating care without added benefit compared to using a soft toothbrush.

Choice D reason: Mouthwash may irritate candidiasis ulcers, especially if alcohol-based, and is not the priority. Brushing with a soft-bristled toothbrush effectively cleans the mouth without causing trauma. Mouthwash is secondary and requires nurse oversight to ensure compatibility with the client’s condition, unlike brushing.

A. Rinse mouth after using a corticosteroid inhaler B. Use the inhaler only during asthma attacks C. Store the inhaler in a refrigerator D. Shake the inhaler only once before use

Correct Answer is A

Explanation

Choice A reason: Rinsing the mouth after using a corticosteroid inhaler prevents oral candidiasis, a common side effect from residual steroid deposition. This ensures safe asthma management, as fungal infections compromise adherence and health, making it the priority teaching point for proper inhaler use.

Choice B reason: Using the inhaler only during asthma attacks applies to rescue inhalers, not maintenance corticosteroids, which are used daily. This is incorrect, as rinsing the mouth is essential for corticosteroid inhalers to prevent oral thrush, ensuring safe and effective asthma control.

Choice C reason: Storing inhalers in a refrigerator is unnecessary and may degrade some medications. Room-temperature storage is standard. Rinsing the mouth after corticosteroid inhaler use is critical to prevent oral candidiasis, making it the priority teaching point for asthma management.

Choice D reason: Shaking the inhaler only once may be insufficient for proper aerosolization in some devices. Rinsing the mouth after corticosteroid inhaler use is the priority, as it prevents oral thrush, a significant side effect, ensuring safe and consistent asthma therapy.

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A client with a history of chronic obstructive pulmonary disease receives a new prescription for a bronchodilator inhaler. Which statement by the client indicates correct understanding of the inhaler’s use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adult client is admitted with AIDS and oral candidiasis manifested by several painful mouth ulcers. The nurse delegates oral care to the unlicensed assistive personnel (UAP) and discusses how to assist the client. Which instruction should the nurse provide the UAP?

Correct Answer is B

Explanation

The nurse is caring for a client with a new diagnosis of asthma. Which teaching point should the nurse emphasize for proper inhaler use?

Correct Answer is A

Explanation

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