A nurse is teaching a client who has chronic obstructive pulmonary disease and is to start using fluticasone by MDI twice daily. Which of the following instructions should the nurse include?
"Skip the morning dose if you do not have any symptoms."
"Use this medication to relieve an acute attack."
"Check your heart rate before each dose."
"Inspect your mouth for lesions daily."
The Correct Answer is D
A. Fluticasone should be used regularly to prevent symptoms, not skipped based on symptom presence.
B. Fluticasone is a maintenance medication and is not effective for acute attacks.
C. Checking heart rate is not necessary with fluticasone use.
D. Inspecting the mouth for lesions daily is important to detect oral thrush, a potential side effect of inhaled corticosteroids.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Monitoring urine output is not specifically related to the side effects of ethambutol.
B. Ethambutol can cause optic neuritis, so monitoring visual acuity is essential.
C. Skin color changes are not commonly associated with ethambutol therapy.
D. Cardiac rhythm monitoring is not necessary for clients on ethambutol.
Correct Answer is D
Explanation
Rationale:
A. Auscultating bowel sounds for 3 to 5 minutes is appropriate if sounds are not initially heard.
B. Clamping the NG tube prevents false bowel sounds from the tube.
C. Performing auscultation between meals ensures accurate assessment of bowel sounds.
D. Palpating the abdomen prior to auscultation can alter bowel sounds, making it important to auscultate before palpation.
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