A client with chronic bronchitis is to start receiving breathing treatments with acetylcysteine (Mucomyst). Which information should the nurse include in teaching about this medication?
1. "Your pharmacist can order this for you to purchase as an over-the-counter drug."
2. "Stop the treatment if you start to cough."
3. "This drug has a very short shelf life, so if it smells bad, do not use it."
4. "This drug is designed to break down and thin the mucus in your lungs."
5. "You might experience nausea while using this drug."
4,5
Rationale 1: This drug is by prescription only.
Rationale 2: This medication is designed to thin mucus to make it easier to remove by coughing. Coughing is a desired effect.
Rationale 3: Acetylcysteine has the odor of rotten eggs. This is not an indication that it is past the recommended use date or that it has gone bad.
Rationale 4: This drug is a mucolytic and is designed to thin mucus by breaking down the chemical structure.
Rationale 5: One of the adverse effects of acetylcysteine is nausea.
Global Rationale: This drug is a mucolytic and is designed to thin mucus by breaking down the chemical structure. One of the adverse effects of acetylcysteine is nausea. This drug is by prescription only. This medication is designed to thin mucus to make it easier to remove by coughing. Coughing is a desired effect. Acetylcysteine has the odor of rotten eggs. This is not an indication that it is past the recommended use date or that it has gone bad.
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