Author Question: After teaching a client who is prescribed salmeterol (Serevent), the nurse assesses the client's ... (Read 111 times)

rmenurse · **on:** Jun 25, 2018

After teaching a client who is prescribed salmeterol (Serevent), the nurse assesses the client's understanding. Which statement by the client indicates a need for additional teaching?

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 asthma attack.
d. I will be careful not to let the drug escape out of my nose and mouth.

Question 2

A nurse cares for a client who has developed esophagitis after undergoing radiation therapy for lung cancer. Which diet selection should the nurse provide for this client?

a. Spaghetti with meat sauce, ice cream
b. Chicken soup, grilled cheese sandwich
c. Omelet, soft whole wheat bread
d. Pasta salad, custard, orange juice

Athena23 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
Salmeterol is designed to prevent an asthma attack; it does not relieve or reverse symptoms. Salmeterol 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.

Answer to Question 2

ANS: C
Side effects of radiation therapy may include inflammation of the esophagus. Clients should be taught that bland, soft, high-calorie foods are best, along with liquid nutritional supplements. Tomato sauce may prove too spicy for a client with esophagitis. A grilled cheese sandwich is too difficult to swallow with this condition, and orange juice and other foods with citric acid are too caustic.