The nurse is providing education to a group of women using ...

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The nurse is providing education to a group of women using long-term inhaled glucocorticoids. Which of the following statements by one of the women indicates a need for further teaching?
 
  a. I should begin weight-bearing exercises.
  b. I need to avoid calcium and vitamin D intake because they interfere with absorption.
  c. I will adhere to a stress management program.
  d. I should inspect my mouth for white, patchy areas.

Question 2

An asthmatic patient comes to the emergency department (ED) with edema of the glottis, chest tightening, and wheezing. The nurse suspects severe bronchospasm and should prepare to administer a(n) (Select all that apply.)
 
  a. nebulized albuterol treatment.
  b. levalbuterol (Xopenex) treatment.
  c. oral beta2 agonist.
  d. inhaled corticosteroid.
  e. leukotriene modifier.

[raili21]

Answer to Question 1

ANS: B
The patient should take calcium and vitamin D supplements; this statement indicates a need for further teaching.
The patient should perform weight-bearing exercises; no further teaching is needed.
A stress management program is important for reducing stress and preventing the need for extra doses of glucocorticoids; no further teaching is needed.
The patient should monitor for oral candidiasis; no further teaching is needed.

Answer to Question 2

ANS: A, B
A nebulizer is the quickest delivery method, and short-acting beta-adrenergic agonists, such as albuterol and levalbuterol, treat acute bronchospasm.
An oral medication would not work quickly enough for a severe bronchospasm attack.
An inhaled corticosteroid would help inflammation but would not be the most effective choice.
A leukotriene modifier is effective as a mucolytic, therefore it would not be the correct choice.

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Excellent

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