A nurse is teaching a client who has a new prescription for a metered-dose inhaler. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
"You may use a spacer with this device."
"Inhale slowly to distribute the medication."
"Hold the mouthpiece between your lips when you inhale.
Take this medication for quick relief"
"Rinse your mouth after using the medication."
Correct Answer : A,B,C,E
A. Spacers are devices that can be attached to MDIs to help improve medication delivery to the lungs. They reduce the need for precise coordination between inhalation and actuation, making it easier for the medication to reach the lungs.
B Inhaling slowly allows the medication to be dispersed and distributed more effectively throughout the lungs. Rapid inhalation may cause the medication to impact the back of the throat rather than reaching the lungs. Instructing the client to inhale slowly helps maximize the amount of medication that reaches the airways.
C. Holding the mouthpiece between the lips and forming a good seal with the lips helps ensure that the medication is delivered directly into the airways. This technique ensures that the client inhales the medication effectively. Holding the mouthpiece between the lips also prevents the medication from escaping and ensures that it reaches the lungs.
E. Some medications delivered via MDIs, especially corticosteroids, can cause oral candidiasis (thrush) or irritation if not rinsed out of the mouth. Rinsing the mouth with water after using the MDI helps reduce the risk of side effects such as thrush or irritation in the mouth and throat. This instruction is particularly important for clients using corticosteroid inhalers.
D. MDIs can deliver medications for both quick relief (short-acting bronchodilators) and long-term control (maintenance medications). This instruction is correct if the medication prescribed is a short- acting bronchodilator (e.g., albuterol) used for quick relief of symptoms like wheezing or shortness of breath. However, if the medication is a long-term control medication (e.g., corticosteroid inhaler), it should be used regularly as prescribed to manage underlying inflammation.
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Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
The client is at risk for decreased absorption due to medication interactions.
Rationale
Esomeprazole works by reducing the production of stomach acid, thereby raising the pH level in the stomach. Levothyroxine, like many other medications, is absorbed primarily in the upper part of the small intestine where a more acidic environment is optimal for absorption. When stomach acid production is reduced by esomeprazole, the pH of the stomach increases, which can decrease the dissolution and absorption of levothyroxine.
Correct Answer is B
Explanation
B. Clients on infliximab should be vigilant about signs of infection and report any symptoms promptly to their healthcare provider.
A. Clients receiving infliximab should still practice sun protection measures due to potential immune system effects but not necessarily due to direct medication-related photosensitivity.
C This statement is incorrect for infliximab. Infliximab is typically administered as an infusion, but the frequency depends on the condition being treated. For rheumatoid arthritis, infliximab is usually given as an infusion initially and then on a maintenance schedule (e.g., every 4 to 8 weeks).
D. Metallic taste is more commonly reported with certain medications or during certain procedures (like dental work) but is not a typical side effect of infliximab.
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