A patient with chronic obstructive pulmonary disease (COPD) is being discharged home with a new prescription for an inhaled bronchodilator.
Which instruction should the nurse include in the discharge teaching?
Use the inhaler before engaging in physical activity.
Skip doses if symptoms improve.
Use the inhaler only when experiencing severe symptoms.
Double the dose if symptoms do not improve immediately.
The Correct Answer is A
Choice A rationale
Using the inhaler before engaging in physical activity helps to prevent exercise-induced bronchospasm, which is common in patients with COPD.
Choice B rationale
Skipping doses if symptoms improve is not recommended as it can lead to suboptimal control of COPD and potential exacerbations.
Choice C rationale
Using the inhaler only when experiencing severe symptoms is not effective in managing COPD. Regular use as prescribed helps maintain lung function and prevent exacerbations.
Choice D rationale
Doubling the dose if symptoms do not improve immediately is not safe and can lead to adverse effects. Patients should follow the prescribed dosage and consult their healthcare provider if symptoms persist.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Increasing fluid intake is contraindicated in clients with fluid overload, such as those with bilateral lower extremity edema and lung crackles. It can worsen the condition.
Choice B rationale
Administering prescribed diuretics is the priority intervention to reduce fluid overload in clients with heart failure post-STEMI. It helps to decrease edema and pulmonary congestion.
Choice C rationale
Applying warm compresses to the lower extremities may provide temporary relief but does not address the underlying issue of fluid overload.
Choice D rationale
Encouraging ambulation is beneficial for overall health but is not a priority intervention for managing fluid overload in this context. .
Correct Answer is D
Explanation
Choice A rationale
Irrigating the catheter without checking for kinks first may not address the underlying issue and can potentially cause harm.
Choice B rationale
Adjusting the rate of the bladder irrigant may not resolve the issue if the catheter tubing is kinked.
Choice C rationale
Notifying the provider without first checking for kinks may delay the resolution of the problem.
Choice D rationale
Checking the tubing for kinks is the first action to ensure there is no obstruction preventing the flow of urine. .
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