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
Explanation
A. To help prevent Tumor Lysis Syndrome.
Encouraging fluid intake is crucial for patients undergoing chemotherapy, especially when there's a risk of Tumor Lysis Syndrome (TLS). TLS is a potentially serious complication that can occur when cancer cells release their contents into the bloodstream, leading to metabolic imbalances. Adequate hydration helps prevent the concentration of these released substances and reduces the risk of TLS.
B. Staying hydrated decreases oral dryness that the patient may exhibit as a result of chemotherapy.
While hydration is generally important for overall well-being, oral dryness is not typically a direct consequence of bladder cancer chemotherapy. It might be a side effect of certain medications, but the primary concern in this case is likely related to preventing TLS.
C. To help prevent new onset diabetes mellitus.
The rationale for fluid intake in the context of bladder cancer chemotherapy is not typically related to preventing new onset diabetes mellitus. The primary focus is usually on managing potential side effects of chemotherapy and promoting overall health.
D. Because it is better to encourage water Vs. carbonated beverages.
While encouraging water over carbonated beverages is generally a healthy choice, the primary rationale for increased fluid intake in the context of bladder cancer chemotherapy is more specific and related to preventing Tumor Lysis Syndrome.
Correct Answer is A
Explanation
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.
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