What statement indicates that a client needs further teaching regarding therapy with salmeterol (Serevent)?
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 asth-ma attack."
d. "I will be careful not to let the drug escape out of my nose and mouth."
C
Salmeterol is designed to prevent an asthma attack; it does not relieve or reverse symptoms. The client does not have to keep this inhaler with him or her always because it is not used as a rescue medication. Salmeterol (Serevent) 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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a. Explain the pathophysiologic reasons behind the client not eating. b. Help the family show other ways to demonstrate love and caring. c. Suggest foods and liquids the client might be willing to try to eat. d. Tell the family the client isn't able to eat now no matter what they bring.
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When prescribing phosphodiesterase type 5 (PDE-5) inhibitors such as sildenafil (Viagra) patients should be screened for use of:
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A. Day shift B. Weekdays C. Weekends D. 7 to 10 a.m.