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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice B rationale

Potassium levels should be reviewed before administering furosemide. Furosemide is a loop diuretic that can cause significant potassium loss through increased urine output. Monitoring potassium is crucial to prevent hypokalemia, which can lead to cardiac arrhythmias and other serious complications.

Choice A rationale

Bicarbonate levels are not directly impacted by furosemide use and are less critical to review in this context. While they are important in assessing acid-base balance, they are not the primary concern when administering furosemide.

Choice C rationale

Phosphate levels are not typically affected by furosemide and are not the main focus before administration. Monitoring phosphate might be important in other scenarios, but it is not directly relevant here.

Choice D rationale

Carbon dioxide levels are more relevant to respiratory function and acid-base balance but are not directly impacted by furosemide. The focus should be on monitoring electrolytes, particularly potassium, to prevent complications from diuretic therapy.

A. Encourage the patient to bear weight on the residual limb to promote early ambulation. B. Apply a tight compression bandage to the residual limb to promote circulation. C. Assess the residual limb for signs of hemorrhage or poor circulation. D. Remove the prosthetic limb and keep the residual limb uncovered to allow for air exposure.

Correct Answer is C

Explanation

Choice A rationale

Encouraging the patient to bear weight on the residual limb immediately after surgery is not recommended due to the risk of injury and poor healing.

Choice B rationale

Applying a tight compression bandage can help with circulation, but assessing for complications takes precedence immediately after surgery.

Choice C rationale

Assessing the residual limb for signs of hemorrhage or poor circulation is crucial to identify any post-surgical complications early.

Choice D rationale

Keeping the residual limb uncovered might be necessary in some cases, but initial assessment and monitoring are more important immediately after surgery. .

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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?

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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?