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 D

Explanation

Choice A rationale

Eye drops for glaucoma are not typically used for long-term control of pain and swelling.

Choice B rationale

Restoring a smaller angle is not the goal of treatment for open-angle glaucoma.

Choice C rationale

While reducing excess pressure is a goal of glaucoma treatment, eye drops are typically used for long-term control rather than a temporary reduction of pressure.

Choice D rationale

Eye drops for open-angle glaucoma are used for long-term control of normal eye pressure. They need to be used every day, and depending on the type of medicine, may need to be used once, twice, or up to 4 times a day.

A. The client primes the inhaler with 7 pumps. B. The client stores the medication at room temperature. C. The client rinses their mouth after each use. D. The client attaches a spacer device to the inhaler.

Correct Answer is A

Explanation

Choice A rationale

Ipratropium is a bronchodilator used to prevent bronchospasm in people with chronic obstructive pulmonary disease (COPD)3. The inhaler needs to be primed before use to ensure the right amount of medicine is delivered. However, priming the inhaler with 7 pumps is not recommended. Therefore, if the client primes the inhaler with 7 pumps, it indicates that additional teaching is needed.

Choice B rationale

Storing the medication at room temperature is the correct way to store ipratropium. Therefore, this action does not indicate that additional teaching is needed.

Choice C rationale

Rinsing the mouth after each use of the inhaler is a recommended practice. This helps to prevent dry mouth and throat irritation caused by the medication. Therefore, this action does not indicate that additional teaching is needed.

Choice D rationale

Attaching a spacer device to the inhaler can help improve the delivery of the medication. Therefore, this action does not indicate that additional teaching is needed.

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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

A patient with open-angle glaucoma asks the nurse about the duration of use for the prescribed eye drops. What is the nurse’s accurate response?

Correct Answer is D

Explanation

A client with a history of chronic obstructive pulmonary disease (COPD) has been prescribed a new ipratropium inhaler.Which action indicates to the nurse that additional teaching is needed?

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?