The client receives albuterol (Proventil) via inhaler. He asks ...

[mwit1967]

The client receives albuterol (Proventil) via inhaler. He asks the nurse why he can't just take a pill. What is the best response by the nurse?
 
  1. When you inhale the drug the blood supply in your lungs picks it up rapidly, resulting in quicker effects.
  2. Because pills cannot help your illness; you must have inhaled medications for relief of symptoms.
  3. Because pills would produce too many side effects; you will have very few side effects with inhaled medications.
  4. Because this medication cannot be absorbed from your GI tract; the acid in your stomach would destroy it.

Question 2

The client is prescribed a nasal decongestant spray. What information should the nurse include when educating the client about how to use this medication?
 
  1. Blow your nose immediately before using the medication.
  2. Drink a full glass of water immediately before using this spray.
  3. Limit your use of this spray to no more than 5 days.
  4. Since you are using more than one type of nasal spray, be sure to wait 510 minutes between administrations.
  5. You should spit out any excess spray that drains into your mouth.

[hramirez205]

Answer to Question 1

Correct Answer: 1
Rationale 1: The respiratory system offers a rapid and efficient mechanism for delivering drugs. The enormous surface area of the bronchioles and alveoli, and the rich blood supply to these areas, results in an almost instantaneous onset of action for inhaled substances.
Rationale 2: Albuterol (Proventil) can be given orally (PO), but has a faster onset of action if inhaled.
Rationale 3: Inhaled medications also produce side effects.
Rationale 4: Oral medications are effective with some symptoms of respiratory disorders, but inhaled medications work faster.

Answer to Question 2

Correct Answer: 1,3,4,5
Rationale 1: The nasal passages should be cleared by blowing the nose immediately before the medication is administered.
Rationale 2: Fluids should be increased, but it is not necessary to drink a glass of water immediately before using the spray.
Rationale 3: Nasal decongestant sprays should not be used for more that 35 days.
Rationale 4: The client should wait 510 minutes between administering different nasal sprays to allow the first medication some time to work before the second one is used.
Rationale 5: Excess spray should not be swallowed as systemic effects may occur.

[mwit1967]

Excellent

[Dominic]

Thanks for the timely response, appreciate it