The nurse teaches a patient with chronic bronchitis about a new ...

[melly21297]

The nurse teaches a patient with chronic bronchitis about a new prescription for Advair Diskus (combined fluticasone and salmeterol).
 
  Which action by the patient would indicate to the nurse that teaching about medication administration has been successful?
  a. The patient shakes the device before use.
  b. The patient attaches a spacer to the Diskus.
  c. The patient rapidly inhales the medication.
  d. The patient performs huff coughing after inhalation.

Question 2

The nurse notes new onset confusion in an older patient who is normally alert and oriented. In which order should the nurse take the following actions? (Put a comma and a space between each answer choice A, B, C, D.)
 
  a. Obtain the oxygen saturation.
  b. Check the patient's pulse rate.
  c. Document the change in status.
  d. Notify the health care provider.

[Carissamariew]

Answer to Question 1

ANS: C
The patient should inhale the medication rapidly. Otherwise the dry particles will stick to the tongue and oral mucosa and not get inhaled into the lungs. Advair Diskus is a dry powder inhaler; shaking is not recommended. Spacers are not used with dry powder inhalers. Huff coughing is a technique to move mucus into larger airways to expectorate. The patient should not huff cough or exhale forcefully after taking Advair in order to keep the medication in the lungs.

Answer to Question 2

ANS:
A, B, D, C
Assessment for physiologic causes of new onset confusion such as pneumonia, infection, or perfusion problems should be the first action by the nurse. Airway and oxygenation should be assessed first, then circulation. After assessing the patient, the nurse should notify the health care provider. Finally, documentation of the assessments and care should be done.

[melly21297]

Thank you

[Carissamariew]

No problemo