The nurse is teaching a patient with a history of COPD to self-administer tiotropium (Spiriva) by dry powder inhalation. Which information provided by the nurse is accurate?
a. The medication capsules can be used multiple times.
b. Press on the canister while inhaling.
c. Avoid breathing into the mouthpiece.
d. Wash the device with cold water.
ANS: C
The patient should not breathe into the mouthpiece at any time. Capsules are meant to be used as a single dose and should be disposed of after taking the daily dose. The HandiHaler uses capsules of medication that should be pierced before the patient inhales. The inhaler should be washed with hot water.
You might also like to view...
A nursing instructor is preparing a teaching plan for a group of nursing students about pharmacology. When describing this topic, the instructor would focus the discussion on which of the following as an essential aspect?
A) Drug name B) Drug class C) Drug action D) Drug source
The manager is reviewing informatics competencies for each level of staff nurse. Which statement indicates the appropriate level of informatics competencies to the correct nurse?
A) An informatics nurse extrapolates data to develop a best practice model for indwelling catheter care. B) The novice nurse uses a spreadsheet to document medication reactions. C) An experienced staff nurse creates databases. D) A beginning nurse utilizes the Internet to integrate multidisciplinary languages.
Which action should be initiated to limit hypovolemic shock when uterine inversion occurs?
a. Administer oxygen at 31 L/min by nasal cannula. b. Administer an oxytocic drug by intravenous push. c. Monitor fetal heart rate every 5 minutes. d. Restore circulating blood volume by increasing the intravenous infusion rate.
The nurse who witnesses the patient's signature on an informed consent form is confirming which of the following?
a. The patient understands what is to be done. b. The physician explained the procedure. c. The patient understands the cost of the pro-cedure. d. The person who signed the form is the patient and the patient is competent, alert, and aware.