Which principle(s) would be important to teach a patient about the use of a steroid inhaler? (SELECT ALL THAT APPLY)

Frequent oral hygiene is necessary

The inhaler should be used on a PRN basis only

Rinse and spit after inhalation of the medication

When taking a steroid drug as well as a bronchodilator, the bronchodilator should be administered first

Hold your breath for 10 seconds during inhalation of the medication

Answer and Explanation

Correct Answer : A,C,D,E

Correct Answers:

A. Frequent oral hygiene is necessary: Steroid inhalers can increase the risk of oral thrush and other infections, so maintaining good oral hygiene is essential to minimize this risk.

C. Rinse and spit after inhalation of the medication: Rinsing the mouth and spitting after using a steroid inhaler helps to remove residual medication and reduce the risk of developing oral thrush.

D. When taking a steroid drug as well as a bronchodilator, the bronchodilator should be administered first: Administering a bronchodilator first helps open the airways, allowing the steroid medication to reach deeper into the lungs for more effective treatment.

E. Hold your breath for 10 seconds during inhalation of the medication: Holding the breath allows for better medication absorption in the lungs.

Incorrect Answer:

B. The inhaler should be used on a PRN basis only: Steroid inhalers are typically used on a regular schedule for long-term control of asthma or other respiratory conditions, rather than on a PRN (as needed) basis. PRN use is more applicable to rescue inhalers, like short-acting bronchodilators.

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Correct Answer is A

Explanation

A. Expiratory wheeze

Expiratory wheeze is a high-pitched, musical sound heard primarily during expiration. It occurs when air passes through narrowed airways due to bronchoconstriction, inflammation, and increased mucus production, which are characteristic features of an acute asthma exacerbation. Expiratory wheezes are commonly heard upon auscultation of the chest in individuals experiencing asthma exacerbations.

B. Pleural friction rub

Pleural friction rub is a dry, crackling or grating sound heard during both inspiration and expiration. It typically occurs when the inflamed pleural surfaces rub against each other during breathing. Pleural friction rub is associated with conditions such as pleurisy (inflammation of the pleura) or pleural effusion (accumulation of fluid in the pleural space), rather than asthma exacerbations.

C. Fine rales

Fine rales, also known as fine crackles, are brief, high-pitched, discontinuous sounds heard primarily during inspiration. They are typically associated with conditions involving the small airways and alveoli, such as pulmonary fibrosis or congestive heart failure. Fine rales are not commonly heard in asthma exacerbations.

D. Rhonchi

Rhonchi are low-pitched, snoring or rattling sounds heard primarily during expiration. They result from the passage of air through airways obstructed by thick mucus or secretions. While rhonchi may be heard in individuals experiencing asthma exacerbations, they are less characteristic than expiratory wheezes, which are more commonly associated with asthma exacerbations. Rhonchi are often associated with conditions such as chronic bronchitis or pneumonia.

A. "You should inhale through your nose and exhale through your mouth during purse-lipped breathing." B. "Your inspiration should be longer than expiration during purse-lipped breathing." C. "You should cough forcefully during exhalation when you are purse-lipped breathing." D. "You should be flat on your back when you perform purse-lipped breathing."

Correct Answer is A

Explanation

A. "You should inhale through your nose and exhale through your mouth during purse-lipped breathing."

Pursed-lip breathing is a breathing technique commonly used by individuals with COPD to help improve breathing efficiency and manage dyspnea (shortness of breath). During purse-lip breathing, the individual inhales slowly through the nose and exhales slowly and gently through pursed lips, creating a slight resistance to the airflow. This technique helps to keep the airways open longer during exhalation, reduces air trapping, and improves oxygenation.

B. "Your inspiration should be longer than expiration during purse-lipped breathing."

Pursed-lip breathing typically involves making both the inspiration and expiration longer than usual. The focus is on slowing down the breathing rate and extending the exhalation phase to promote better gas exchange and reduce respiratory effort.

C. "You should cough forcefully during exhalation when you are purse-lipped breathing."

Pursed-lip breathing is a gentle breathing technique used to promote relaxation and control of breathing. Forceful coughing during exhalation is not part of purse-lip breathing and may not be appropriate, especially for individuals with COPD who are prone to airway irritation and bronchospasm.

D. "You should be flat on your back when you perform purse-lipped breathing."

The position for performing purse-lip breathing is not specific to lying flat on the back. Individuals can perform purse-lip breathing in various positions that are comfortable and allow for effective breathing, such as sitting upright or leaning slightly forward. The key is to find a position that facilitates relaxation and optimal lung expansion.

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Which principle(s) would be important to teach a patient about the use of a steroid inhaler? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client's chest, the nurse should expect to hear which of the following sounds?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who has COPD about purse-lipped breathing. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

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Which principle(s) would be important to teach a patient about the use of a steroid inhaler? (SELECT ALL THAT APPLY)