Which principle(s) would be included when teaching a patient to use a steroid inhaler? (Select All that Apply.)

Rinse and spit after inhalation of the medication.

Bronchodilators should be administered before steroid inhalers.

The inhaler should be used on a PRN basis only.

Frequent oral hygiene is necessary.

Hold the breath for 10 seconds during inhalation of the medication.

Answer and Explanation

Correct Answer : A,B,D,E

A.   Rinsing the mouth and spitting after using a steroid inhaler is essential to prevent oral thrush, a common side effect of inhaled corticosteroids. This practice helps clear residual medication from the mouth and throat, reducing the risk of fungal infections.
B.   Bronchodilators, such as short-acting beta-agonists (SABAs), should be used before steroid inhalers. The bronchodilator opens the airways, allowing the steroid to reach deeper into the lungs for better efficacy.
C.   While some inhalers (like rescue inhalers) may be used on a PRN basis, steroid inhalers are typically prescribed for regular, daily use to manage inflammation and control chronic conditions like asthma or COPD. They are not intended for PRN use only.
D.   Frequent oral hygiene helps to reduce the risk of oral thrush and other oral health issues associated with steroid use. Patients should be encouraged to maintain good oral hygiene practices while using inhaled steroids.
E.   Holding the breath for about 10 seconds after inhalation allows for better medication absorption in the lungs. This practice helps maximize the efficacy of the inhaled medication.

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Correct Answer is ["400"]

Explanation

Total volume = 100 mL

Time = 15 minutes = 0.25 hours (15 minutes / 60 minutes/hour)

Infusion rate = Total volume / Time Infusion rate = 100 mL / 0.25 hours Infusion rate = 400 mL/hour

Therefore, the nurse should set the IV infusion pump to 400 mL/hour.

A. Bronchodilation. B. Decrease in peak expiratory flow. C. Thinner respiratory secretions. D. Increase in respiratory rate.

Correct Answer is A

Explanation

A. Beta-adrenergic agents (often called bronchodilators) work by stimulating beta-2 adrenergic receptors in the airway smooth muscle, leading to relaxation of the muscles and dilation of the airways. This helps improve airflow and relieve symptoms of asthma.
B. A beta-adrenergic agent should ideally increase peak expiratory flow (PEF) by dilating the airways and improving airflow, not decrease it.
C. This is not a direct action of beta-adrenergic agents. While some medications (like mucolytics or certain expectorants) can thin secretions, beta-adrenergic agents primarily focus on bronchodilation and do not significantly affect the viscosity of respiratory secretions.
D. While beta-adrenergic agents can sometimes cause mild tachycardia (increased heart rate) as a side effect, they are not intended to increase the respiratory rate directly. The primary goal of these medications is to improve airway patency rather than change the rate of breathing.

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Which principle(s) would be included when teaching a patient to use a steroid inhaler? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

The physician orders iron sucrose 200 mg IV. The pharmacy sends the medication in a 100 mL bag of normal saline with the directions to infuse the IV over 15 minutes. The nurse sets the IV Infusion pump to mL/hr.

Correct Answer is ["400"]

Explanation

Which statement describes the action of a beta-adrenergic agent for a patient with a respiratory disorder such as asthma?

Correct Answer is A

Explanation

In providing care to a patient admitted with an acute asthma exacerbation, the nurse prepares which "rescue" medication for administration first?

Which principle(s) would be included when teaching a patient to use a steroid inhaler? (Select All that Apply.)

Which physical assessment(s) would be pertinent to the patient with asthma? (Select All that Apply.)

A nurse is planning a diet for a client who is iron deficient. Which of the following foods high in iron should the nurse include in the plan?

The nurse is caring for a homeless patient at risk for tuberculosis (TB). Which clinical manifestations of the disease would the nurse include in the teaching plan? (Select All that Apply.)

A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?

A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?

A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. Which of th following information should the nurse include in the teaching?