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 C
Explanation
A. Restrict the client’s intake of fluids.
Fluid restriction is not a standard intervention during the administration of monoclonal antibodies.
B. Premedicate the client with morphine.
Morphine is not a standard premedication for monoclonal antibody infusions. Premedication may be used in some cases, but the specific medications used depend on the patient's individual needs and the nature of the monoclonal antibody being administered.
C. Stay with the client during the first 15 minutes of the infusion.
The rationale for staying with the client during the initial part of the infusion is to monitor for any immediate hypersensitivity reactions or infusion-related adverse events, which can sometimes occur early in the infusion process. This allows the nurse to respond promptly if the client experiences any adverse reactions.
D. Assess the client for the development of ototoxicity.
Ototoxicity (hearing loss) is not a common concern with monoclonal antibody infusions. The focus of assessment during the infusion is primarily on immediate hypersensitivity reactions and other infusion-related adverse events.
Correct Answer is D
Explanation
A. Decrease viral load:
This is a goal typically associated with antiviral medications, which aim to reduce the amount of virus in the body, commonly seen in the treatment of viral infections like HIV.
B. Kill tumor cells:
This is the goal of many cancer treatments, such as chemotherapy or radiation therapy. These treatments aim to destroy or inhibit the growth of cancer cells.
C. Increase body defenses:
This is a goal often associated with immunotherapy, which aims to enhance the body's immune system to better recognize and attack cancer cells or other pathogens.
D. Relieve symptoms:
This is the primary goal of palliative therapy, which focuses on managing and alleviating symptoms, improving the patient's comfort and quality of life, especially in the context of serious or life-limiting illnesses like cancer.
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