Before leaving the hospital after an acute asthma attack, a client is given a prescription for fluticasone/salmeterol (Advair) 250/50 to inhale one puff twice a day
The nurse completing the client's discharge teaching should tell the client which of the following? Select all that apply.
A) Take the medication as needed.
B) Continue to carry a rescue inhaler.
C) Check peak flow daily.
D) Rinse mouth after each use.
E) Shake meter well before using.
Ans: B, C, D
Feedback:
The drug is a dry powder inhaler that contains an inhaled corticosteroid and a long-acting beta agonist. The medication should be taken every day as per the directions on the label to prevent future exacerbations. The client should continue to carry a rescue inhaler and check peak flow around the same time each day. Advair does not need to be shaken prior to use as it is a dry powder inhaler. The client should be advised to rinse his mouth out after each use to prevent oral thrush.
You might also like to view...
A patient presents to the emergency department (ED) having an acute asthma attack. An ED physician has ordered a sympathomimetic (epinephrine). The nurse expects what as the therapeutic effect of this drug?
A) Decrease the inflammatory response in the airways B) Reduce the surface tension within the alveoli allowing for gas exchange C) Inhibit the release of histamine and slow-reacting substance of anaphylaxis (SRSA) to prevent the allergic asthmatic response D) Cause dilation of the bronchi with increased rate and depth of respiration
The nurse is caring for a patient scheduled for an infusion drip pyelography. What patient preparation is necessary for this test?
A) Restriction of fluids B) Fluids are not restricted C) Serum electrolytes D) 24-hour urine test
A child is admitted with infective endocarditis. Which of the following is the nurse's priority action?
1. Start an intravenous line. 2. Place the child in contact isolation. 3. Place the child on seizure precautions. 4. Assist with a lumbar puncture.
Which position would the nurse suggest for second stage labor if the pelvic outlet needs to be increased?
1. Semi-recumbent 2. Sitting 3. Squatting 4. Side-lying