The nurse teaches a patient with chronic bronchitis about a new prescription for Advair Diskus (combined fluticasone and salmeterol)
Which action by the patient would indicate to the nurse that teaching about medication administration has been successful?
a. The patient shakes the device before use.
b. The patient attaches a spacer to the Diskus.
c. The patient rapidly inhales the medication.
d. The patient performs huff coughing after inhalation.
ANS: C
The patient should inhale the medication rapidly. Otherwise the dry particles will stick to the tongue and oral mucosa and not get inhaled into the lungs. Advair Diskus is a dry powder inhaler; shaking is not recommended. Spacers are not used with dry powder inhalers. Huff coughing is a technique to move mucus into larger airways to expectorate. The patient should not huff cough or exhale forcefully after taking Advair in order to keep the medication in the lungs.
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