Author Question: A client is prescribed inhaled corticosteroid therapy along with bronchodilator therapy. Which of ... (Read 109 times)

theo · **on:** Jul 23, 2018

A client is prescribed inhaled corticosteroid therapy along with bronchodilator therapy. Which of the following points should the nurse include in the teaching plan?

A) Stop corticosteroid therapy immediately if you notice any adverse effects.
B) Before each dose of corticosteroid, rinse the mouth thoroughly with water.
C) The corticosteroid drug provides rapid relief during an asthma attack.
D) Take the corticosteroid several minutes after the bronchodilator dose.

Question 2

A nurse is reviewing the medical record of several clients who are prescribed amiloride. The nurse would identify a client with which condition as being at highest risk for developing hyperkalemia? Select all that apply.

A) Diabetes
B) Hypertension
C) Renal disease
D) Epilepsy
E) Asthma

Question 3

A nurse is caring for a client who is receiving cromolyn orally. Which of the following instructions would the nurse include in the client's teaching plan?

A) Do not take the drug at bedtime.
B) Swallow the drug without chewing.
C) Take the drug with food or milk.
D) Take the drug at least 30 minutes before meals.

jrpg123456 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: D
Feedback:
The nurse should instruct the client to take the corticosteroid several minutes after the bronchodilator dose. This helps in enhancing the application of the steroid into the bronchial tract. Corticosteroid therapy should never be stopped abruptly. The mouth should be rinsed thoroughly with water after each dose of corticosteroid to prevent the occurrence of fungal infections. The steroid drug does not provide rapid relief during an asthma attack, as it does not dilate the bronchus.

Answer to Question 2

Boom Correct answer

Answer to Question 3

Ans: D
Feedback:
When administered orally, cromolyn is given 30 minutes before meals and at bedtime. The oral form of the drug comes in an ampule. The ampule is opened and the contents are poured into a glass of water. The nurse stirs the mixture thoroughly. The client must drink all of the mixture. The drug may not be mixed with any other substance (e.g., fruit juice, milk, or foods).