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.)
"Shake the device prior to administration."
"Soak the inhaler in waver after use."
"A spacer will make it easier to use the device."
"Have your child take one inhalation as needed for shortness of breath."
"Rinse your child's mouth following administration.
Correct Answer : A,C,E
Choice A rationale:
The nurse should teach the guardian to shake the device prior to administration to ensure that the medication is well mixed and delivered in the right dose.
Choice B rationale:
Soaking the inhaler in water is not a recommended action as this can damage the device and affect its function.
Choice C rationale:
The nurse should also teach the guardian to use a spacer with the inhaler, which is a device that attaches to the mouthpiece and helps deliver the medication more effectively to the lungs.
Choice D rationale:
The nurse should also not teach the guardian to have the child take one inhalation as needed for shortness of breath, as fluticasone is a long-acting corticosteroid that is used for maintenance therapy and prevention of asthma symptoms, not for acute relief. The child should have a separate rescue inhaler, such as albuterol, for quick relief of bronchospasm.
Choice E rationale
The nurse should instruct the guardian to rinse the child's mouth with water after using the inhaler to prevent oral candidiasis, which is a fungal infection that can occur from the steroid medication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Taking an HMG-CoA reductase inhibitor (statin) is not directly related to digoxin toxicity.
Choice B rationale:
Having a prolapsed mitral valve is not a known risk factor for digoxin toxicity.
Choice C rationale:
Having a history of COPD is not directly associated with digoxin toxicity.
Choice D rationale:
High-ceiling diuretics (loop diuretics) can lead to electrolyte imbalances, such as hypokalemia, which can increase the risk of digoxin toxicity. Potassium plays a role in the effects of digoxin on the heart, and low levels can potentiate toxicity.
Correct Answer is ["A","C","E"]
Explanation
Choice A rationale:
The nurse should teach the guardian to shake the device prior to administration to ensure that the medication is well mixed and delivered in the right dose.
Choice B rationale:
Soaking the inhaler in water is not a recommended action as this can damage the device and affect its function.
Choice C rationale:
The nurse should also teach the guardian to use a spacer with the inhaler, which is a device that attaches to the mouthpiece and helps deliver the medication more effectively to the lungs.
Choice D rationale:
The nurse should also not teach the guardian to have the child take one inhalation as needed for shortness of breath, as fluticasone is a long-acting corticosteroid that is used for maintenance therapy and prevention of asthma symptoms, not for acute relief. The child should have a separate rescue inhaler, such as albuterol, for quick relief of bronchospasm.
Choice E rationale
The nurse should instruct the guardian to rinse the child's mouth with water after using the inhaler to prevent oral candidiasis, which is a fungal infection that can occur from the steroid medication.
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