After teaching a client who is prescribed salmeterol (Serevent), the nurse assesses the client's understanding. Which statement by the client indicates a need for additional teaching?
a. "I will be certain to shake the inhaler well before I use it."
b. "It may take a while before I notice a change in my asthma."
c. "I will use the drug when I have an asthma attack."
d. "I will be careful not to let the drug escape out of my nose and mouth."
ANS: C
Salmeterol is designed to prevent an asthma attack; it does not relieve or reverse symptoms. Salmeterol has a slow onset of action; therefore, it should not be used as a rescue drug. The drug must be shaken well because it has a tendency to separate easily. Poor technique on the client's part allows the drug to escape through the nose and mouth.
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