The prescriber has written a new order for a glucocorticoid inhaler for a client being discharged to home. What information should be included in the teaching plan regarding the use of this medication?

“This medication is a leading cause of bronchospasm.”

“This medication will cause you to become fatigued.”

“You must gargle and rinse your mouth immediately after each use of this medication.”

“This medication may cause you to feel anxious”

Answer and Explanation

The Correct Answer is C

A. “This medication is a leading cause of bronchospasm.”

Glucocorticoid inhalers are not a leading cause of bronchospasm. In fact, they are often prescribed to reduce inflammation and prevent bronchospasm in conditions like asthma and chronic obstructive pulmonary disease (COPD).

B. “This medication will cause you to become fatigued.”

Fatigue is not a common side effect of inhaled glucocorticoids. Systemic effects are more likely with oral or intravenous administration, whereas inhaled forms are designed to have localized effects.

C. “You must gargle and rinse your mouth immediately after each use of this medication.”

Inhaled glucocorticoids can sometimes lead to local side effects, such as oral candidiasis (thrush) or hoarseness. Gargling and rinsing the mouth after using the inhaler can help minimize these side effects by reducing the risk of fungal overgrowth in the mouth and throat.

D. “This medication may cause you to feel anxious.”

Anxiety is not a common side effect of inhaled glucocorticoids. Again, systemic effects are more associated with other routes of administration. The use of inhaled glucocorticoids is generally well-tolerated when used as directed.

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Correct Answer is C

Explanation

A. Take this medication at bedtime because it causes drowsiness.

Oxymetazoline is not known to cause drowsiness. It is a nasal decongestant that works by constricting blood vessels in the nasal passages to alleviate congestion.

B. This medication should only be used for asthma.

Oxymetazoline is not a medication specifically used for asthma. It is primarily used as a nasal decongestant for relieving nasal congestion associated with conditions such as allergies and the common cold.

C. Limit the use of this medication to 3 days to prevent rebound nasal congestion

Oxymetazoline is a nasal decongestant commonly used to relieve nasal congestion due to conditions like seasonal allergies or the common cold. Prolonged use of nasal decongestant sprays like oxymetazoline can lead to rebound congestion, where the nasal passages become more congested when the medication is stopped. Therefore, it is important to limit the use of oxymetazoline to a short duration (typically 3 days) to avoid this rebound effect.

D. Stop this medication immediately.

Abruptly stopping oxymetazoline is not recommended, as it may lead to rebound congestion. The nurse should advise the client to follow the recommended duration of use and, if needed, consult with a healthcare provider before discontinuing the medication.

A. Maintenance therapy of controlled chronic asthma B. Severe asthmatic attack C. Asthma that is unresponsive to bronchodilator therapy D. Acute allergic reaction

Correct Answer is C

Explanation

A. Maintenance therapy of controlled chronic asthma

Glucocorticoids are commonly used as maintenance therapy for controlled chronic asthma to prevent exacerbations and maintain long-term control.

B. Severe asthmatic attack

While bronchodilators are often the first-line treatment for a severe asthmatic attack, glucocorticoids may be added to reduce inflammation and improve overall outcomes.

C. Asthma that is unresponsive to bronchodilator therapy

In cases where asthma is unresponsive to bronchodilator therapy or there is an exacerbation of asthma symptoms, glucocorticoids (steroids) are often prescribed. These medications have anti-inflammatory effects and can help reduce airway inflammation, improving symptoms and preventing further exacerbation.

D. Acute allergic reaction

Glucocorticoids may be used in the management of acute allergic reactions, but they are not the first-line treatment. Antihistamines and other medications are typically used initially, and glucocorticoids may be added in certain cases.

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The prescriber has written a new order for a glucocorticoid inhaler for a client being discharged to home. What information should be included in the teaching plan regarding the use of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client with seasonal allergies is taking oxymetazoline (Afrin). What should the nurse teach the client about this medication?

Correct Answer is C

Explanation

In which of the following scenarios would the RN anticipate glucocorticoids (steroids) to be prescribed?

Correct Answer is C

Explanation

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