A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler.
Which of the following information should the nurse include in the teaching? (Select all that apply)
Rinse your child’s mouth following administration.
A spacer will make it easier to use the device.
Soak the inhaler in water after use.
Have your child take one inhalation as needed for shortness of breath.
Shake the device prior to administration.
Correct Answer :
Fluticasone is an inhaled steroid that prevents the symptoms of asthma by decreasing inflammation in the airways. It is not used to treat a sudden asthma attack.
Some additional information to explain why the other choices are wrong are:
Choice C is wrong because soaking the inhaler in water after use can damage the device and affect its performance.
Choice D is wrong because fluticasone is not a rescue inhaler that can be used as needed for shortness of breath. It is a controller inhaler that should be used regularly as prescribed by the doctor.
Choice E is wrong because shaking the device prior to administration is not necessary for a fluticasone metered-dose inhaler (MDI). However, it is recommended for fluticasone inhalation powder (Flovent Diskus). Some normal ranges that may be applicable are:
The usual dose of fluticasone MDI for adults and children 12 years and older is 55 to 232 mcg twice a day. The usual dose of fluticasone MDI for children 4 to 11 years old is 30 mcg twice a day. The maximum dose of fluticasone MDI for adults and children 12 years and older is 1000 mcg twice a day.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is []
Explanation
Choice B: Compare the client’s wristband to the medication administration record.
This is the first step to ensure the right patient receives the right medication. This is part of the “five rights” of medication administration.
Choice A: Remove the medication from the dispensing system. This is the second step to obtain the medication from the appropriate source and check the expiration date and dosage.
Choice C: Document administration of the medication. This is the last step to record the time, route, dose, and any adverse effects of the medication.
Choice D: Open the medication package. This should not be done before comparing the client’s wristband to the medication administration record, as it may result in giving the wrong medication or dose to the wrong patient.
Choice E: Obtain the client’s apical heart rate. This should not be done before opening the medication package, as it may delay theadministration of the medication or cause confusion with other medications.
Correct Answer is B
Explanation
Albumin is a protein that helps maintain fluid balance in the body by drawing water into the blood vessels. Albumin infusion can increase the blood volume and blood pressure in patients who are in shock due to fluid loss or sepsis.
Choice A is wrong because albumin infusion does not decrease protein levels in the body.
Albumin is a protein itself and adding it to the blood increases the protein concentration.
Choice C is wrong because oxygen saturation of 96% is normal and does not indicate any improvement or deterioration in the patient’s condition.
Choice D is wrong because PaCO2 of 30 mm Hg is low and indicates respiratory alkalosis, which can be caused by hyperventilation, fever, or anxiety. Albumin infusion does not affect PaCO2 levels directly.
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