A client is prescribed albuterol (Proventil) oral tablets for asthma. What should the nurse include when teaching the client about this medication?
1. "The dosage for this drug should be doubled if no effect is seen in a short time."
2. "This drug is very effective in treating acute attacks."
3. "This drug can be taken every 5 minutes for maximal effect."
4. "This drug must be taken 15 minutes before exercise."
Correct Answer: 4
Rationale 1: Doubling the dosage of albuterol can lead to toxic drug effects.
Rationale 2: The oral route results in delayed onset of action; hence, albuterol should not be used to terminate an asthma attack in progress.
Rationale 3: Albuterol should not be taken every 5 minutes, because it can produce toxicity.
Rationale 4: Albuterol can be used for prophylaxis of exercise-induced bronchospasm by administering it 15 minutes before exercise.
Global Rationale: Albuterol can be used for prophylaxis of exercise-induced bronchospasm by administering it 15 minutes before exercise. Doubling the dosage of albuterol can lead to toxic drug effects. The oral route results in delayed onset of action; hence, albuterol should not be used to terminate an asthma attack in progress. Albuterol should not be taken every 5 minutes, because it can produce toxicity.
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