The nurse is caring for a patient diagnosed with COPD who has been prescribed tiotropium (Spiriva). Which statement will the nurse include in the education?
Tiotropium (Spiriva) works by relaxing and dilating the bronchioles
If you experience dry mouth, stop taking the medication immediately
Use tiotropium (Spiriva) as needed for sudden breathing problems
Remove the capsules from the packaging and place in your 7-day med box
The Correct Answer is A
A. Tiotropium (Spiriva) works by relaxing and dilating the bronchioles
Tiotropium is an anticholinergic bronchodilator used in the management of chronic obstructive pulmonary disease (COPD). It works by blocking the action of acetylcholine, a neurotransmitter, leading to relaxation and dilation of the bronchioles, which helps improve airflow in the lungs.
B. If you experience dry mouth, stop taking the medication immediately
Dry mouth is a common side effect of tiotropium but is not a reason to stop taking the medication. The nurse may advise the patient to manage dry mouth with measures such as increased water intake or using sugar-free gum.
C. Use tiotropium (Spiriva) as needed for sudden breathing problems
Tiotropium is typically used as a maintenance medication for long-term control of COPD symptoms, not as a rescue medication for sudden breathing problems. Short-acting bronchodilators are often prescribed for acute symptom relief.
D. Remove the capsules from the packaging and place in your 7-day med box
Tiotropium is available in a dry powder inhalation capsule, and it should be used with the inhalation device provided. Removing the capsules from the packaging and placing them in a weekly medication box is not the correct method for administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. “I will not need to know how to check my body temperature.”:
This statement is incorrect. Monitoring body temperature is important for patients receiving chemotherapy because a compromised immune system increases the risk of infection. Fever can be an early sign of infection, and patients are often instructed to monitor their temperature regularly.
B. “Chemotherapy is excreted in my bodily fluids.”:
This statement is correct. Chemotherapy drugs can be excreted in various bodily fluids, such as urine, sweat, and saliva. Patients are advised to take precautions to avoid exposing others to these bodily fluids during and shortly after chemotherapy.
C. “My spouse will wear gloves when emptying my urinal.”:
This statement is correct. To reduce the risk of exposure to chemotherapy drugs in urine, it is advisable for caregivers, such as spouses, to wear gloves when handling bodily fluids.
D. “The chemotherapy will remain in my body for 2-3 days.”:
This statement is correct. The duration during which chemotherapy remains in the body can vary depending on the specific drugs administered. Patients are typically provided with guidelines on how long they need to take precautions to minimize exposure to others.
Correct Answer is B
Explanation
A. Relieves nasal congestion
Dornase alfa is not used to relieve nasal congestion. It is specifically designed to address the thick, sticky mucus that can accumulate in the airways of individuals with cystic fibrosis (CF).
B. Decreases thick secretions
This is the correct answer. Dornase alfa is known for its ability to decrease the viscosity of thick secretions in the airways of individuals with CF. By breaking down the DNA within the mucus, it helps to thin and improve the clearance of the mucus.
C. Decreases pain
Dornase alfa is not primarily used to decrease pain. Its main action is related to improving respiratory function by reducing the thickness of mucus, which can help ease breathing difficulties associated with CF.
D. Suppresses cough
Dornase alfa is not used to suppress cough. In fact, it may increase coughing initially as it facilitates the loosening and clearance of mucus from the airways.
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