A client has prescriptions for albuterol (Proventil HFA) and salmeterol (Serevent). Which instruction should the nurse provide for this client?

1. They should not be taken together.
2. The order of administration does not matter.
3. Take salmeterol first.
4. Take albuterol first.


4

Rationale 1: The albuterol should be taken first.
Rationale 2: Albuterol is a bronchodilator and should be used before the anti-inflammatory drug salmeterol. The bronchioles should be opened in order for the action of the anti-inflammatory drug to be most effective.
Rationale 3: Albuterol is a bronchodilator and should be used before the anti-inflammatory drug salmeterol.
Rationale 4: Albuterol is a bronchodilator and should be used before the anti-inflammatory drug salmeterol. The bronchioles should be opened in order for the action of the anti-inflammatory drug to be most effective.

Global Rationale: Albuterol is a bronchodilator, and should be used before the anti-inflammatory drug salmeterol. The bronchioles should be opened in order for the action of the anti-inflammatory drug to be most effective. The medications should not be taken together. The order of administration does matter. The salmeterol should be taken second.

Nursing

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An 8-year-old girl tells the nurse that she has cancer because God is punishing her for "being bad." What should the nurse interpret this as?

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The patient is complaining of a severe headache. The nurse takes the patient's blood pressure and finds it to be 240/110 . What is the pulse pressure?

a. 110 b. 240 c. 130 d. 350

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What is true concerning infectious diseases at the current time in the United States?

A. They account for 25% of all physician visits and are still a major cause of death. B. They are not a community/public health problem in the United States. C. They are a major source of morbidity in the world, but not in the United States. D. They are a major source of mortality in the world, but rarely fatal in the United States.

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