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 C

Explanation

A. While this information is important for understanding the cause of the asthma exacerbation, it is not the most critical piece of information needed for immediate treatment.
B. Knowing when the symptoms began can help determine the severity of the exacerbation and the need for additional interventions. However, it is not as important as knowing the last dose of medication.
C. This information is crucial for determining the appropriate treatment. If the child has not received their regular medications as prescribed, they may need additional doses to manage the exacerbation.
D. Knowing the child's history of asthma exacerbations is important for assessing the severity of the current episode and planning long-term management. However, it is not the most critical piece of information needed for immediate treatment.

A. Breathe in deeply over 2 to 3 seconds while pushing down on the canister. B. Wait 60 seconds between each puff. C. Place her lips firmly around the mouthpiece. D. Exhale slowly through pursed lips. E. Inhale deeply and then exhale completely. F. Hold her breath for 10 seconds.

Correct Answer is F,D,A,B,E,C

Explanation

F. Inhale deeply and then exhale completely: This ensures that the airways are clear before inhaling the medication.
D. Place her lips firmly around the mouthpiece: A tight seal around the mouthpiece is important to prevent the medication from escaping and to ensure that it reaches the lungs.
A. Breathe in deeply over 2 to 3 seconds while pushing down on the canister: This action releases the medication into the lungs. It's important to inhale slowly and deeply to maximize the delivery of the medication.
G. Hold her breath for 10 seconds: Holding the breath allows the medication to settle into the lungs, increasing its effectiveness.
E. Exhale slowly through pursed lips: Exhaling slowly helps to prevent the medication from being exhaled too quickly and reduces the risk of irritation to the airways.
C. Wait 60 seconds between each puff: If more than one puff is prescribed, waiting 60 seconds between puffs allows the medication from the first puff to settle into the lungs before inhaling the second puff.

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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

A school-age child is admitted to the ER with status asthmaticus. The parent states the child is taking montelukast, albuterol, and fluticasone. Which is the most important piece of information that the nurse needs to ask the parent to best treat the child?

Correct Answer is C

Explanation

A nurse is teaching a client who has asthma how to use a metered-dose inhaler (MDI). The nurse identifies the sequence of steps the client should follow. (Move the steps, placing them in the selected order of performance. Use all steps.)

Correct Answer is F,D,A,B,E,C

Explanation

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