The nurse is caring for a client who is prescribed a long-acting beta2 agonist. The client states, "The medication is too expensive to use every day. I only use my inhaler when I have an attack." How should the nurse respond?
a. "You are using the inhaler incorrectly. This medication should be taken daily."
b. "If you decrease environmental stimuli, it will be okay for you to use the inhaler only for asthma attacks."
c. "Tell me more about your fears related to feelings of breathlessness."
d. "It is important to use this type of inhaler every day. Let's identify potential community services to help you."
ANS: D
Long-acting beta2 agonists should be used every day to prevent asthma attacks. This medication should not be taken when an attack starts. Asthma medications can be expensive. Telling the client that he or she is using the inhaler incorrectly does not address the client's financial situation, which is the main issue here. Clients with limited incomes should be provided with community resources. Asking the client about fears related to breathlessness does not address the client's immediate concerns.
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