A patient in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system to manage asthma.
This system delivers an inhaled powdered form of these combined medications. What instruction should the nurse provide to this patient’s caregivers?

Instruct the patient to exhale rapidly into the mouthpiece when using the discus.

Explain that the patient should not use the discus more than twice daily.

Inform that patients using the discus may experience a decrease in blood pressure.

Suggest offering the discus to the patient for use during an acute asthma attack.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Instructing the patient to exhale rapidly into the mouthpiece when using the discus is incorrect. The patient should breathe in through their mouth as deeply as they can until they have taken a full deep breath.

Choice B rationale

Fluticasone and salmeterol is a combination of two medicines that are used to help control the symptoms of asthma and improve breathing. It is used when a patient’s asthma has not been controlled sufficiently on other asthma medicines, or when a patient’s condition is so severe that more than one medicine is needed every day. Therefore, explaining that the patient should not use the discus more than twice daily is the correct instruction.

Choice C rationale

Informing that patients using the discus may experience a decrease in blood pressure is incorrect. The most common side effects of fluticasone and salmeterol include drowsiness, dizziness, and weakness.

Choice D rationale

Suggesting offering the discus to the patient for use during an acute asthma attack is incorrect. Fluticasone and salmeterol is not used to relieve an asthma attack that has already started.

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Correct Answer is ["B","D","E"]

Explanation

Choice A rationale

Crushing and mixing ciprofloxacin hydrochloride tablets with pudding is not recommended. Ciprofloxacin is an antibiotic used to treat a variety of bacterial infections, including anthrax. It should be taken as directed by a healthcare provider, usually every 12 hours with a full glass of

water. Crushing the tablets can lead to a sudden release of the drug, causing side effects or an overdose.

Choice B rationale

Increasing fluid intake while taking the medication is advisable. Ciprofloxacin can cause crystalluria, which are crystals in the urine, in some patients. Drinking plenty of fluids while taking this medication helps to prevent the formation of these crystals.

Choice C rationale

Using nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve mild joint aches and pains caused by the medication is not recommended. Ciprofloxacin can increase the effects of certain medications, including NSAIDs, leading to an increased risk of side effects such as gastrointestinal bleeding.

Choice D rationale

Reporting any tendon pain or swelling to the healthcare provider immediately is crucial. Ciprofloxacin has been associated with an increased risk of tendonitis and tendon rupture, particularly in older adults and those taking corticosteroids.

Choice E rationale

Limiting exposure to sunlight and avoiding tanning beds is important. Ciprofloxacin can make the skin more sensitive to sunlight, increasing the risk of sunburn. Patients should wear protective clothing and use sunscreen when outdoors.

A. Ask the patient to describe her dietary intake history for the last several days. B. Advise the patient to stop taking the drug and contact her healthcare provider. C. Instruct the patient to increase her intake of saturated fats over the next week. D. Obtain a stool specimen to evaluate for occult blood and fat content.

Correct Answer is A

Explanation

Choice A rationale

If a patient is experiencing increasingly frequent oily stools and gas after taking orlistat for one week, the nurse should ask the patient to describe her dietary intake history for the last

several days. Orlistat works by inhibiting the absorption of dietary fats, which are then excreted in the stool. Consuming a diet high in fat can increase the side effects of orlistat, which include oily or fatty stools and gas.

Choice B rationale

Advising the patient to stop taking the drug and contact her healthcare provider is not the first step. The nurse should first assess the patient’s dietary habits as the side effects may be due to a high-fat diet.

Choice C rationale

Instructing the patient to increase her intake of saturated fats over the next week is not advisable. A high-fat diet can increase the side effects of orlistat.

Choice D rationale

Obtaining a stool specimen to evaluate for occult blood and fat content is not necessary in this case. The symptoms described by the patient are common side effects of orlistat and can often be managed by adjusting the diet.

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A patient in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system to manage asthma.This system delivers an inhaled powdered form of these combined medications. What instruction should the nurse provide to this patient’s caregivers?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a discharge teaching plan for a patient who is taking ciprofloxacin hydrochloride tablets due to suspected anthrax exposure. What instructions should be included in the teaching plan?

Correct Answer is ["B","D","E"]

Explanation

After taking orlistat for one week, a female patient tells the home health nurse that she is experiencing increasingly frequent oily stools and gas.What action should the nurse take?

Correct Answer is A

Explanation

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A patient in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system to manage asthma.
This system delivers an inhaled powdered form of these combined medications. What instruction should the nurse provide to this patient’s caregivers?