A nurse is teaching a client who has asthma the appropriate use of inhaled fluticasone. What advice should the nurse give to help the client avoid complications with the use of inhaled steroids?
Check the pulse after taking the medication.
Take the medication before eating.
Limit your caffeine intake.
Rinse your mouth after inhaling the medicine.
The Correct Answer is D
a) Checking the pulse is not directly related to the use of inhaled steroids. It's important for assessing certain medications, but not for inhaled steroids.
b) Taking the medication before eating is not a specific recommendation for inhaled steroids. It's more important to follow the specific instructions provided for the particular medication.
c) Limiting caffeine intake is not a standard recommendation for the use of inhaled steroids. This action is not directly related to potential complications with these medications.
d) Rinsing the mouth after inhaling the medicine is crucial to prevent the development of oral candidiasis, a common complication associated with inhaled steroids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Stopping all antibiotics and implementing strict use of alcohol-based hand sanitizer is not the appropriate response to the observed symptoms. The focus should be on addressing the potential infection.
b) The symptoms suggest the possibility of Clostridium difficile infection, and discontinuing the cephalosporin is crucial. Vancomycin or metronidazole is commonly used to treat C. difficile infection.
c) Requesting an additional antibiotic to override the effects of the cephalosporin is not the appropriate course of action. The focus should be on discontinuing the causative antibiotic.
d) Increasing the dose of cephalosporin is contraindicated in the presence of suspected C. difficile infection. Isolation measures may be implemented, but the priority is discontinuing the causative antibiotic and initiating appropriate treatment for the infection.
Correct Answer is C
Explanation
a) Rising slowly from lying to sitting and standing is a precaution to prevent orthostatic hypotension, a potential side effect of calcium channel blockers.
b) Elevating legs if edema occurs is a reasonable response to manage peripheral edema associated with calcium channel blockers.
c) Grapefruit juice can interact with calcium channel blockers, leading to increased drug levels and potential toxicity. This statement indicates a need for additional teaching.
d) Increasing fluid and fiber to limit the risk of constipation is a reasonable measure associated with the use of calcium channel blockers.
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