Author Question: The client has a prescription to receive pirbuterol (Maxair) two puffs and beclomethasone two puffs ... (Read 26 times)

panfilo · **on:** Jul 22, 2018

The client has a prescription to receive pirbuterol (Maxair) two puffs and beclomethasone two puffs by metered-dose inhaler. The nurse plans to give these medications most effectively by:

1. Administering the beclomethasone before the pirbuterol
2. Administering the pirbuterol before the beclomethasone
3. Alternating a single puff of each hourly, beginning with the beclomethasone
4. Alternating a single puff of each hourly, beginning with the pirbuterol

Question 2

The client with pancreatitis is being weaned from parenteral nutrition (PN). The client asks the nurse why the PN cannot just be stopped.

The nurse includes in a response to the client that which of the following complications could occur with sudden termination of PN formula? 1. Dehydration
2. Hypokalemia
3. Hypernatremia
4. Rebound hypoglycemia

6ana001 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2

Rationale: Pirbuterol is a bronchodilator. Beclomethasone is a glucocorticoid. Bronchodilators are administered before glucocorticoids when both are to be given on the same time schedule. This allows for widening of the air passages by the bronchodilator, which then makes the glucocorticoid more effective.

Answer to Question 2

4

Rationale: Clients receiving PN are receiving high concentrations of glucose. To give the pan-creas time to adjust to decreasing glucose loads, the infusion rates are tapered down. Prior to discontinuing the PN, the body must adjust to the lowered glucose level. If the PN were suddenly withdrawn, the client could have rebound hypoglycemia. Although the other options are potential complications, they are not risks associated with discontinuing PN abruptly.