The nurse is teaching a client how to use an inhaler device. Which client statement indicates to the nurse that the client understands the instructions?

The inhaler will be used before bed each night.

Rinsing the mouth with water should be done after each use.

Caffeinated beverages should be limited to two cups per day.

To mask taste of the medication, inhaler can be used during meals.

Answer and Explanation

The Correct Answer is B

A. The inhaler will be used before bed each night:
The timing of inhaler use depends on the type of medication (e.g., rescue vs. maintenance) and individual needs, not a fixed schedule like before bed. Proper use instructions usually specify whether it’s for acute symptoms or regular daily use.

B. Rinsing the mouth with water should be done after each use:
This is an important practice for inhaled corticosteroids to help prevent oral thrush and minimize side effects. It ensures that any residual medication is removed from the mouth.

C. Caffeinated beverages should be limited to two cups per day:
While caffeine may have interactions with certain medications, it is not specifically related to the use of inhalers. Therefore, this statement is less relevant to the immediate use of the inhaler.

D. To mask the taste of the medication, inhaler can be used during meals:
Using an inhaler during meals is not advised. It is important to use the inhaler as directed, typically separate from meals, to ensure proper inhalation and effectiveness of the medication.

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Correct Answer is D

Explanation

A. Apply warm compresses to legs:
While leg cramps can be uncomfortable, addressing them with warm compresses does not address the potential underlying issues related to the client's symptoms, especially considering the possibility of more severe conditions.

B. Monitor intake and output:
Monitoring intake and output is important in managing fluid balance, especially with diuretics like furosemide. However, this action does not directly address the immediate concerns raised by symptoms like palpitations and a cough.

C. Raise the head of the bed:
Raising the head of the bed can be helpful if the client is experiencing shortness of breath or orthopnea. However, it does not address the need to evaluate cardiac function, which is crucial given the presence of palpitations and other symptoms.

D. Place on cardiac monitoring:
The client's symptoms—palpitations, cough, fatigue—could indicate significant electrolyte imbalances or cardiac issues, which are common with furosemide use. Cardiac monitoring is the most appropriate initial action to quickly identify and address any cardiac complications.

A. Clients using the discus may experience decreased blood pressure. B. Explain that the client should not use the discus more than twice daily. C. When using the discus, have the client breathe out rapidly into the mouthpiece. D. Offer the discus to the client for use during an acute asthma attack.

Correct Answer is B

Explanation

A. Clients using the discus may experience decreased blood pressure:
Fluticasone propionate and salmeterol are a combination of a corticosteroid and a long-acting beta-agonist. While they help control asthma, they are not typically associated with decreased blood pressure. Instead, potential side effects might include increased heart rate or hypertension.

B. Explain that the client should not use the discus more than twice daily:
Fluticasone propionate and salmeterol combination inhalers are usually prescribed for twice-daily use to maintain control of asthma symptoms. Using the inhaler more frequently than prescribed could lead to increased side effects or diminished effectiveness.

C. When using the discus, have the client breathe out rapidly into the mouthpiece:
The correct technique for using a dry powder inhaler involves inhaling deeply and forcefully to ensure the medication reaches the lungs. Breathing out rapidly into the mouthpiece is incorrect and will not deliver the medication effectively.

D. Offer the discus to the client for use during an acute asthma attack:
The discus is used for long-term control and prevention of asthma symptoms, not for immediate relief during an acute asthma attack. A rescue inhaler, typically containing a short-acting beta-agonist like albuterol, is used for acute symptoms.

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The nurse is teaching a client how to use an inhaler device. Which client statement indicates to the nurse that the client understands the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is taking furosemide reports experiencing leg cramps, a cough, feeling tired, and palpitations. Which action should the nurse take first?

Correct Answer is D

Explanation

To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client's caregivers?

Correct Answer is B

Explanation

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