The client receives beclomethasone (Beconase). What will the best assessment by the nurse include?
1. Assess the client's mouth for any sign of fungal infection.
2. Assess the client's blood glucose prior to administration of nasal spray.
3. Assess if the client has blown his nose prior to administration of nasal spray.
4. Assess if the client has had a change in taste.
5. Assess the client for any hoarseness or change in voice.
1,3,4,5
Rationale 1: Clients may develop candidiasis so the mouth should be assessed.
Rationale 2: There is no need to assess the client's blood glucose.
Rationale 3: The client should gently blow the nose prior to use to clear the nasal passages.
Rationale 4: Clients may experience a change in taste.
Rationale 5: Clients may experience a change in voice as a local effect.
Global Rationale: Clients may develop candidiasis so the mouth should be assessed. The client should gently blow the nose prior to use to clear the nasal passages. Clients may experience a change in taste. Clients may experience a change in voice as a local effect. There is no need to assess the client's blood glucose.
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