The teaching plan for the use of a dry powder inhaler for the treatment of asthma should include the warning to rinse the mouth after inhaling the powder.
What does this prevent?
Discoloration of tooth enamel.
Halitosis.
Irritation of oral membranes.
Candidiasis.
The Correct Answer is D
Choice A rationale
Discoloration of tooth enamel is not a primary concern with dry powder inhalers. While some medications can cause oral changes, the main issue with inhaled corticosteroids, often delivered via dry powder inhalers, is localized fungal overgrowth, not direct enamel staining. Good oral hygiene is generally recommended but specifically targets fungal prevention.
Choice B rationale
Halitosis, or bad breath, is not a direct or primary consequence of dry powder inhaler use. While poor oral hygiene can contribute to halitosis, the mechanism for rinsing after inhaler use is to remove residual medication, thereby preventing more significant oral complications like fungal infections.
Choice C rationale
Irritation of oral membranes can occur, but it is not the most significant or common complication that rinsing aims to prevent. Residual powder can cause some local irritation, but the predominant risk with long-term use of inhaled corticosteroids, which are frequently in dry powder inhalers, is opportunistic fungal growth.
Choice D rationale
Rinsing the mouth after using a dry powder inhaler, especially one containing corticosteroids, is crucial to prevent candidiasis. Residual corticosteroid particles in the oral cavity can suppress the local immune response, allowing *Candida albicans*, a yeast normally present in small amounts, to proliferate and cause an oral thrush infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Treatment for pulmonary tuberculosis with rifampin is typically prolonged, lasting for several months, often 6 to 9 months, not just 1 month. Shortening the treatment duration significantly increases the risk of drug resistance and recurrence of the infection. Adherence to the full regimen is critical for eradication.
Choice B rationale
Rifampin is not typically associated with causing insomnia. Common side effects include gastrointestinal upset, hepatotoxicity, and discoloration of body fluids. Insomnia is more commonly linked to other medications or underlying conditions, not a characteristic side effect of rifampin directly impacting sleep architecture.
Choice C rationale
Taking rifampin with meals is generally not recommended as food can impair its absorption, reducing its bioavailability and therapeutic effectiveness. It is typically advised to take rifampin on an empty stomach, either 1 hour before or 2 hours after meals, to ensure optimal drug absorption and efficacy.
Choice D rationale
Rifampin causes a harmless but noticeable orange-red discoloration of urine, sweat, tears, and other body secretions. This is due to the drug's inherent color and its excretion pathways. Clients should be informed of this expected side effect to prevent anxiety and ensure adherence to the medication regimen.
Correct Answer is B
Explanation
Choice A rationale
While maintaining an ideal weight is beneficial for overall health and can reduce the burden on the respiratory system, it is not a direct or primary preventative measure for chronic bronchitis. Chronic bronchitis is predominantly linked to long-term exposure to irritants, particularly cigarette smoke, which directly damages the bronchial lining.
Choice B rationale
Smoking cessation is the single most effective intervention for preventing and managing chronic bronchitis. Tobacco smoke contains numerous irritants and toxins that cause chronic inflammation, excessive mucus production, and structural damage to the bronchial airways, leading to the characteristic symptoms of chronic bronchitis. Eliminating this exposure halts disease progression.
Choice C rationale
Annual influenza immunization is crucial for individuals with chronic respiratory conditions, including chronic bronchitis, as it helps prevent exacerbations and complications from influenza infections. However, it is a preventive measure against acute viral infections, not a direct preventative measure against the development of chronic bronchitis itself, which is largely initiated by irritant exposure.
Choice D rationale
Regular moderate exercise improves overall cardiovascular and respiratory fitness and can help manage symptoms of chronic respiratory diseases. However, it does not directly prevent the onset of chronic bronchitis, which is fundamentally caused by chronic inflammation and irritation of the bronchial tubes, most commonly due to smoking.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.