The nurse is teaching a patient with a history of COPD to ...

[Lobcity]

The nurse is teaching a patient with a history of COPD to self-administer tiotropium (Spiriva) by dry powder inhalation. Which information provided by the nurse is accurate?
 
  a. The medication capsules can be used multiple times.
  b. Press on the canister while inhaling.
  c. Avoid breathing into the mouthpiece.
  d. Wash the device with cold water.

Question 2

The nurse is providing nutrition information to a patient diagnosed with a lower respiratory tract disease. What is the rationale for limiting caffeine?
 
  a. Caffeine increases the respiratory rate.
  b. Caffeine can result in thicker lung secretions.
  c. Caffeine will increase the anxiety response associated with dyspnea.
  d. Caffeine can cause bronchospasm.

[Galvarado142]

Answer to Question 1

ANS: C
The patient should not breathe into the mouthpiece at any time. Capsules are meant to be used as a single dose and should be disposed of after taking the daily dose. The HandiHaler uses capsules of medication that should be pierced before the patient inhales. The inhaler should be washed with hot water.

Answer to Question 2

ANS: B
Avoid caffeine-containing beverages because caffeine is a weak diuretic. Diuresis promotes thickening of lung secretions, making it more difficult to expectorate them.

[Lobcity]

TYSM

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