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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This statement indicates a good understanding of environmental control for asthma management. Carpets can trap dust, allergens, and mold, which can trigger asthma attacks. Replacing the carpet with tile can help to reduce exposure to these allergens.
B. While dusting plants can help to reduce exposure to allergens, it is not as effective as removing potential allergens from the environment altogether. Plants themselves can also be sources of allergens, so it might be best to remove them from the home, especially the bedroom.
C. Pets, especially dogs and cats, can be a significant source of allergens for people with asthma. Keeping a pet in the bedroom can increase exposure to allergens and trigger asthma attacks.
D. Burning wood in a fireplace can produce smoke and other pollutants that can irritate the airways and trigger asthma attacks. It is best to avoid using fireplaces, especially during the winter months.
Correct Answer is C
Explanation
A. This is the mechanism of action of angiotensin-converting enzyme (ACE) inhibitors, not calcium channel blockers. ACE inhibitors work by preventing the formation of angiotensin II, a hormone that causes blood vessels to constrict.
B. Calcium channel blockers do not directly affect angiotensin.
C. This is the correct mechanism of action of calcium channel blockers. By blocking the influx of calcium ions into smooth muscle cells, these medications cause the blood vessels to relax and dilate, lowering blood pressure.
D. Calcium channel blockers work by relaxing the smooth muscle of the blood vessels, which decreases their ability to contract and cause vasoconstriction.
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