A nurse assesses a client who is prescribed fluticasone (Flovent) ...

[dakota nelson]

A nurse assesses a client who is prescribed fluticasone (Flovent) and notes oral lesions. Which action should the nurse take?
 
  a. Encourage oral rinsing after fluticasone administration.
  b. Obtain an oral specimen for culture and sensitivity.
  c. Start the client on a broad-spectrum antibiotic.
  d. Document the finding as a known side effect.

Question 2

A nurse is teaching a client who has cystic fibrosis (CF). Which statement should the nurse include in this client's teaching?
 
  a. Take an antibiotic each day.
  b. Contact your provider to obtain genetic screening.
  c. Eat a well-balanced, nutritious diet.
  d. Plan to exercise for 30 minutes every day.

[manuelcastillo]

Answer to Question 1

ANS: A
The drug reduces local immunity and increases the risk for local infection, especially Candida albicans. Rinsing the mouth after using the inhaler will decrease the risk for developing this infection. Use of mouthwash and broad-spectrum antibiotics is not warranted in this situation. The nurse should document the finding, but the best action to take is to have the client start rinsing his or her mouth after using fluticasone. An oral specimen for culture and sensitivity will not provide information necessary to care for this client.

Answer to Question 2

ANS: C
Clients with CF often are malnourished due to vitamin deficiency and pancreatic malfunction. Maintaining nutrition is essential. Daily antibiotics and daily exercise are not essential actions. Genetic screening would not help the client manage CF better.

[dakota nelson]

Thank you

[manuelcastillo]

Happy to help you