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 ["C"]
Explanation
A. Remove the intravenous catheter.
While removing the intravenous catheter is an important step, the immediate priority in cases of extravasation is to stop the infusion to prevent further leakage into the surrounding tissues. After stopping the infusion, the catheter can be carefully removed.
B. Pack the intravenous site with ice.
Cold compresses or ice packs are sometimes used in the management of certain types of extravasation to help reduce local swelling and vasoconstriction. However, the immediate priority is to stop the infusion (Choice C). After that, specific interventions, such as warm or cold compresses, may be employed based on the specific chemotherapy agent involved.
C. Stop the intravenous infusion.
This is the correct answer. Stopping the infusion is the first and most immediate action to prevent further leakage of the chemotherapy drug into the surrounding tissues, reducing the risk of tissue damage and adverse effects.
D. Attempt to aspirate residual medication from the patient’s vein.
While aspirating residual medication may be part of the overall management of extravasation, it is not the first action. The priority is to stop the infusion to prevent further damage. After stopping the infusion, the nurse may assess the situation and determine whether aspirating residual medication is appropriate.
Correct Answer is B
Explanation
A. Shellfish
Shellfish consumption is not typically contraindicated with targeted cancer therapy. However, it is essential for individuals undergoing cancer treatment to follow a well-balanced and nutritious diet. If there are specific dietary restrictions or recommendations based on an individual's overall health or treatment plan, these should be discussed with the healthcare provider or a registered dietitian.
B. Grapefruit
Grapefruit and grapefruit juice contain compounds that can interfere with the metabolism of certain medications, including many targeted therapies. This can result in either increased or decreased levels of the drug in the bloodstream, potentially affecting the efficacy and safety of the treatment. Therefore, individuals receiving targeted therapy are often advised to avoid grapefruit.
C. Yerba mate
Yerba mate is a type of tea made from the leaves of the Ilex paraguariensis plant. While it is generally considered safe, specific interactions with targeted cancer therapies are not well-documented. However, it is always advisable for individuals undergoing cancer treatment to consult with their healthcare team regarding dietary choices, including herbal teas.
D. Aged cheese
Aged cheese is not typically contraindicated with targeted cancer therapy. However, dietary recommendations may vary based on individual health conditions and treatment plans. In some cases, certain dietary restrictions or modifications may be advised, so it's important for individuals to discuss their specific dietary needs with their healthcare providers or dietitians.
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