The client has a prescription to receive pirbuterol (Maxair) two puffs and beclomethasone two puffs by metered-dose inhaler. The nurse plans to give these medications most effectively by:
1. Administering the beclomethasone before the pirbuterol
2. Administering the pirbuterol before the beclomethasone
3. Alternating a single puff of each hourly, beginning with the beclomethasone
4. Alternating a single puff of each hourly, beginning with the pirbuterol
2
Rationale: Pirbuterol is a bronchodilator. Beclomethasone is a glucocorticoid. Bronchodilators are administered before glucocorticoids when both are to be given on the same time schedule. This allows for widening of the air passages by the bronchodilator, which then makes the glucocorticoid more effective.
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True False