Before leaving the hospital after an acute asthma attack, a ...

[mcmcdaniel]

Before leaving the hospital after an acute asthma attack, a client is given a prescription for fluticasone/salmeterol (Advair) 250/50 to inhale one puff twice a day.
 
  The nurse completing the client's discharge teaching should tell the client which of the following? Select all that apply.
 
  A) Take the medication as needed.
  B) Continue to carry a rescue inhaler.
  C) Check peak flow daily.
  D) Rinse mouth after each use.
  E) Shake meter well before using.

Question 2

During stable chronic phases of asthma, the nurse should advise the client to monitor which of the following? Select all that apply.
 
  A) Blood pressure
  B) Wheezing
  C) Respiratory rate
  D) Coughing
  E) Peak flow changes

[Bsand8]

Answer to Question 1

Ans: B, C, D
Feedback:
The drug is a dry powder inhaler that contains an inhaled corticosteroid and a long-acting beta agonist. The medication should be taken every day as per the directions on the label to prevent future exacerbations. The client should continue to carry a rescue inhaler and check peak flow around the same time each day. Advair does not need to be shaken prior to use as it is a dry powder inhaler. The client should be advised to rinse his mouth out after each use to prevent oral thrush.

Answer to Question 2

Ans: B, D, E
Feedback:
Clients with chronic stable asthma should monitor for symptoms such as wheezing, coughing, peak flow changes, and things that might be making the asthma worse.

[mcmcdaniel]

TY

[Bsand8]

You're welcome