This topic contains a solution. Click here to go to the answer

Author Question: The client has been prescribed both a bronchodilator and a steroid medication that is delivered by ... (Read 72 times)

mrsjacobs44

  • Hero Member
  • *****
  • Posts: 500
The client has been prescribed both a bronchodilator and a steroid medication that is delivered by inhaler. What information is essential to teach this client in regard to these medications?
 
  1. The medications cannot be used on the same day.
  2. The steroid inhaler should be used when immediate effects are necessary.
  3. The bronchodilator should be used only when absolutely necessary and only after the steroid inhaler.
  4. Both medications have the possible side effect of increased heart rate.

Question 2

The client who is being mechanically ventilated has copious amounts of secretions ranging from thick and tenacious to frothy. In preparing to suction this client the nurse should:
 
  1. Hyperventilate the client using settings on the mechanical ventilator.
  2. Hyperventilate the client using a manual resuscitator.
  3. Avoid hyperventilation, but instill normal saline into the endotracheal tube.
  4. Avoid hyperventilation and increase the oxygen to 100 for several breaths.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

SamMuagrove

  • Sr. Member
  • ****
  • Posts: 312
Answer to Question 1

Correct Answer: 4
Rationale 1: The medications can be used on the same day.
Rationale 2: It is imperative for the client to understand that the steroid inhaler is not a rescue inhaler and should not be used for immediate relief.
Rationale 3: While the client should be taught to use both inhalers as infrequently as possible, the client should be taught to use the inhaler when necessary. When the inhalers are used together, the bronchodilator is used first, followed by the steroid.
Rationale 4: Both of these medications have the possible side effect of increased heart rate.

Answer to Question 2

Correct Answer: 4
Rationale 1: Hyperventilating the client will likely serve to force secretions back into the respiratory tract.
Rationale 2: Hyperventilating the client will likely serve to force secretions back into the respiratory tract.
Rationale 3: There is no need to instill normal saline into the tube of a client with copious frothy secretions.
Rationale 4: The nurse should avoid hyperventilation and should increase the oxygen to 100 for several breaths prior to initiating suction.





 

Did you know?

Warfarin was developed as a consequence of the study of a strange bleeding disorder that suddenly occurred in cattle on the northern prairies of the United States in the early 1900s.

Did you know?

The human body's pharmacokinetics are quite varied. Our hair holds onto drugs longer than our urine, blood, or saliva. For example, alcohol can be detected in the hair for up to 90 days after it was consumed. The same is true for marijuana, cocaine, ecstasy, heroin, methamphetamine, and nicotine.

Did you know?

Serum cholesterol testing in adults is recommended every 1 to 5 years. People with diabetes and a family history of high cholesterol should be tested even more frequently.

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Did you know?

Thyroid conditions cause a higher risk of fibromyalgia and chronic fatigue syndrome.

For a complete list of videos, visit our video library