A nurse is educating a patient about the proper use of an inhaled corticosteroid. Which statement by the patient indicates correct understanding of the teaching?

"I should rinse my mouth with water and swallow it after using the inhaler."

"I will rinse my mouth only if I feel irritation after using the inhaler."

"I will rinse my mouth with water and spit it out after using the inhaler."

"There is no need to rinse my mouth after using an inhaled corticosteroid."

Answer and Explanation

The Correct Answer is C

A. "I should rinse my mouth with water and swallow it after using the inhaler.": Swallowing the rinse water may still allow corticosteroid particles to enter the systemic circulation through the gastrointestinal tract, increasing the risk of systemic effects and oral thrush.
B. "I will rinse my mouth only if I feel irritation after using the inhaler.": Rinsing should be done routinely after each use, regardless of the presence of irritation. Skipping this step can increase the risk of developing oral candidiasis (thrush) due to residual corticosteroid in the mouth.
C. "I will rinse my mouth with water and spit it out after using the inhaler.": Rinsing and spitting helps remove residual corticosteroid from the oropharynx, reducing the risk of local side effects like oral thrush and hoarseness.
D. "There is no need to rinse my mouth after using an inhaled corticosteroid.": This indicates a lack of understanding. Failure to rinse the mouth increases the risk of fungal infections and other local adverse effects due to prolonged exposure to the medication.

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Correct Answer is B

Explanation

A. "The oral medication you will take after this IV will dissolve the clot.": Oral anticoagulants like warfarin also do not dissolve existing clots. They work similarly to heparin by preventing the formation of new clots and allowing the body’s natural fibrinolytic mechanisms to break down existing ones over time.
B. "Heparin does not dissolve clots. It stops new clots from forming.": This is the most accurate explanation. Heparin is an anticoagulant that enhances antithrombin activity, inhibiting clotting factors and preventing clot propagation, but it does not actively lyse or dissolve clots.
C. "It usually takes heparin at least 2 to 3 days to reach a therapeutic blood level.": Heparin given intravenously has a rapid onset of action, often within minutes. Therapeutic levels are typically reached quickly with continuous infusion, so this statement is inaccurate.
D. "A pharmacist is the person to answer that question.": While pharmacists are valuable for drug-related questions, nurses are expected to provide basic patient education regarding medications, including mechanism of action, especially during bedside care.

A. Tablets B. Lozenge C. Elixir D. Capsules

Correct Answer is A

Explanation

A. Tablets: The drug label clearly states "Zoloft (sertraline hydrochloride) tablets," indicating that this formulation is in tablet form. It also mentions "30 Tablets" directly below the dosage strength, confirming the correct formulation.
B. Lozenge: Lozenges are designed to dissolve slowly in the mouth for local effect and are not typically used for systemic antidepressants like sertraline. This formulation is not indicated on the label.
C. Elixir: An elixir is a liquid form of medication containing alcohol, and although sertraline can be made in liquid form, this label specifically refers to tablets, not a liquid preparation.
D. Capsules: Capsules contain medication enclosed in a gelatin shell, often used for extended-release purposes. The label does not mention capsules and explicitly says "tablets," making this option incorrect.

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A nurse is educating a patient about the proper use of an inhaled corticosteroid. Which statement by the patient indicates correct understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has thrombophlebitis and is receiving Heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

Correct Answer is B

Explanation

What is the formulation on the drug label below?

Correct Answer is A

Explanation

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