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

Rinses the mouth after each use.

Stores the medication at room temperature.

Attaches a spacer device to the inhaler.

Primes the inhaler with 7 pumps.

Answer and Explanation

The Correct Answer is D

Choice A reason:

Rinsing the mouth after each use of an inhaler is a recommended practice, especially for inhalers containing corticosteroids, to prevent oral thrush and other side effects. Although ipratropium is not a corticosteroid, rinsing the mouth can still help reduce any potential irritation or unpleasant taste.

Choice B reason:

Storing the medication at room temperature is appropriate for most inhalers, including ipratropium2. This ensures the medication remains effective and safe to use. It is important to keep the inhaler away from extreme temperatures and direct sunlight.

Choice C reason:

Attaching a spacer device to the inhaler can be beneficial, especially for patients who have difficulty coordinating the timing of inhalation with the activation of the inhaler. A spacer helps ensure that more medication reaches the lungs rather than being deposited in the mouth or throat.

Choice D reason:

Priming the inhaler with 7 pumps is excessive. Typically, ipratropium inhalers require priming with only 2 to 4 sprays before the first use or if the inhaler has not been used for a few days. Over-priming can waste medication and may indicate that the client needs additional instruction on proper inhaler use.

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Correct Answer is B

Explanation

Choice A reason: Insulin glargine is a long-acting insulin used to manage blood glucose levels in patients with diabetes. It is not typically used for the acute management of severe hypoglycemia. Instead, fast-acting glucose sources or glucagon injections are recommended for severe hypoglycemia. Therefore, teaching the family how to inject insulin glargine for severe hypoglycemia is not appropriate.

Choice B reason: Teaching the client self-injection skills for daily subcutaneous administration is crucial. Insulin glargine is administered once daily to provide a steady level of insulin throughout the day and night. Proper self-injection technique ensures that the medication is delivered correctly and effectively, which is essential for managing blood glucose levels in type 2 diabetes.

Choice C reason: While it is important for patients to monitor their blood sugar levels, insulin glargine dosing is typically fixed and not adjusted based on before-meal blood sugar readings. Instead, adjustments to the dose are made based on overall blood glucose trends and A1C levels, under the guidance of a healthcare provider.

Choice D reason: Increasing the dosage of insulin glargine in response to ketoacidosis is not appropriate. Diabetic ketoacidosis (DKA) is a medical emergency that requires immediate treatment with rapid-acting insulin, fluids, and electrolytes. Patients should be instructed to seek emergency medical care if they experience symptoms of DKA.

A. Eliminates urinary bacteria. B. Use the medication after voiding after sexual intercourse. C. Calms spasms in the urinary tract. D. Provides an analgesic effect for irritated bladder mucosa.

Correct Answer is D

Explanation

Choice A reason:

Phenazopyridine does not eliminate urinary bacteria. It is not an antibiotic and does not have antibacterial properties. Instead, it is used to relieve symptoms such as pain, burning, and discomfort caused by irritation of the urinary tract. Therefore, this choice is incorrect.

Choice B reason:

Using phenazopyridine after voiding or after sexual intercourse is not a standard recommendation. This medication is typically taken after meals to reduce stomach upset. It is not specifically indicated for use after sexual intercourse, and this choice does not align with the typical usage instructions for phenazopyridine.

Choice C reason:

Phenazopyridine does not calm spasms in the urinary tract. Its primary function is to provide symptomatic relief from pain, burning, and discomfort in the urinary tract. It does not have antispasmodic properties, so this choice is also incorrect.

Choice D reason:

Phenazopyridine provides an analgesic effect for irritated bladder mucosa. It works by numbing the lining of the urinary tract, which helps to alleviate pain and discomfort associated with conditions like cystitis. This is the correct therapeutic effect of the medication.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning discharge teaching for a client with type 2 diabetes mellitus who has a new prescription for insulin glargine. Which action should the nurse plan to include in the discharge teaching?

Correct Answer is B

Explanation

A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect?

Correct Answer is D

Explanation

A female client with osteoporosis has been taking a weekly dose of oral risedronate for several weeks. The client calls the clinic nurse to report increasing heartburn. How should the nurse respond?

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