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”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Chest X-rays
Chest X-rays are imaging tests that provide detailed pictures of the inside of the chest, including the heart, lungs, and other structures. They are noninvasive as they do not involve any penetration or insertion into the body.
B. Echocardiogram
An echocardiogram is a noninvasive test that uses sound waves to create images of the heart. It provides information about the structure and function of the heart without the need for invasive procedures.
C. Pulmonary function tests
Pulmonary function tests (PFTs) are noninvasive tests that assess the function of the lungs. They include various breathing exercises and measurements to evaluate lung capacity and respiratory function.
D. Cardiac catheterization
Cardiac catheterization is an invasive procedure that involves the insertion of a catheter into the heart. It is not considered noninvasive.
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.
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