The nurse is planning education for a client on their new inhaled corticosteroid. Which information should the nurse plan to include in this client's education? Select all that apply.

"This inhaled corticosteroid should be used to treat an acute asthma attack."

"You may notice dry mouth and throat irritation while using this medication.

"Pay special attention to your dental hygiene while prescribed this medication."

"After administration of the medication, rinse your mouth with water and spit."

"White patches in your mouth are expected when you take this medication."

Answer and Explanation

Correct Answer : B,C,D

A. "This inhaled corticosteroid should be used to treat an acute asthma attack.": Inhaled corticosteroids are maintenance medications used for long-term control of asthma. They are not rescue medications and will not provide immediate relief during an acute asthma attack.

B. "You may notice dry mouth and throat irritation while using this medication.": Dry mouth and throat irritation are common local side effects of inhaled corticosteroids due to their anti-inflammatory action on airway mucosa, making this important to include in patient education.

C. "Pay special attention to your dental hygiene while prescribed this medication.": Good oral hygiene is crucial because inhaled corticosteroids can increase the risk of oral candidiasis and other oral infections. Educating the client on brushing, flossing, and routine dental care helps reduce these risks.

D. "After administration of the medication, rinse your mouth with water and spit.": Rinsing the mouth after inhalation helps remove residual medication, reducing the risk of oral fungal infections and irritation, which is an essential preventive measure.

E. "White patches in your mouth are expected when you take this medication.": White patches, or oral thrush, are not expected but are a potential adverse effect. The client should be advised to report these signs rather than assume they are normal.

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Correct Answer is D

Explanation

A. Client #1: A 45-year-old male with migraine, dehydration, and a history of hypertension could safely receive a calcium channel blocker if indicated for blood pressure management. No contraindications are present in his profile that would make the order unsafe.

B. Client #2: A 68-year-old with influenza and chronic stable angina may benefit from a calcium channel blocker to manage angina symptoms. There are no absolute contraindications based on his current condition or history.

C. Client #3: A 39-year-old post-spinal surgery with chronic hypertension could be prescribed a calcium channel blocker for blood pressure control. His surgical status does not contraindicate the use of this medication unless there are specific hemodynamic concerns.

D. Client #4: A 54-year-old with acute MI and a lisinopril allergy should raise concern because calcium channel blockers, particularly non-dihydropyridines (like verapamil or diltiazem), may interact with ACE inhibitors and affect cardiac function. Post-MI clients require careful selection of antihypertensive therapy.

A. The client reports a recent onset of muscle pain B. The client's high-density lipoprotein (HDL) increased C. The client started taking oral contraceptive pills D. The client's blood pressure is 116/78 while sitting

Correct Answer is A

Explanation

A. The client reports a recent onset of muscle pain: Muscle pain or weakness (myalgia) is a known adverse effect of atorvastatin and can indicate a serious complication such as rhabdomyolysis. This finding requires immediate assessment and possible adjustment of the medication regimen.

B. The client's high-density lipoprotein (HDL) increased: An increase in HDL is a desired effect of atorvastatin therapy. This finding is beneficial and indicates that the medication is helping improve lipid profile and cardiovascular risk.

C. The client started taking oral contraceptive pills: While statins can slightly increase the hormone levels of birth control pills, this is a known interaction but not an immediate clinical "finding" that would be as concerning as potential muscle breakdown.

D. The client's blood pressure is 116/78 while sitting: This blood pressure reading is within normal limits for an adult. It does not indicate a concerning clinical finding in the context of atorvastatin therapy.

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The nurse is planning education for a client on their new inhaled corticosteroid. Which information should the nurse plan to include in this client's education? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A client who is taking atorvastatin presents to the clinic for a follow-up appointment. Which clinical finding is concerning to the nurse?

Correct Answer is A

Explanation

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At this time, you are required to complete a second identity verification by holding up your Chamberlain photo ID badge or any other government, state, or professional photo ID in the webcam view

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