The client has been prescribed both a bronchodilator and a ...

[mrsjacobs44]

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.

[SamMuagrove]

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.

[mrsjacobs44]

TY

[SamMuagrove]

You're welcome