The client receives beclomethasone (Beconase). What will the best ...

[Capo]

The client receives beclomethasone (Beconase). What will the best assessment by the nurse include?
 
  1. Assess the client's mouth for any sign of fungal infection.
  2. Assess the client's blood glucose prior to administration of nasal spray.
  3. Assess if the client has blown his nose prior to administration of nasal spray.
  4. Assess if the client has had a change in taste.
  5. Assess the client for any hoarseness or change in voice.

Question 2

The client receives ipratropium (Atrovent) via inhalation for the treatment of chronic asthma. The nurse plans to do medication education with the client. What will the best plan by the nurse include?
 
  1. Wait 15 minutes before using any other inhaled medications.
  2. The medication may also be used for acute asthma attacks.
  3. Report any increased dyspnea.
  4. Report any changes in urinary pattern.
  5. Use the medication consistently, not occasionally.

[diana chang]

Answer to Question 1

Correct Answer: 1,3,4,5
Rationale 1: Clients may develop candidiasis so the mouth should be assessed.
Rationale 2: There is no need to assess the client's blood glucose.
Rationale 3: The client should gently blow the nose prior to use to clear the nasal passages.
Rationale 4: Clients may experience a change in taste.
Rationale 5: Clients may experience a change in voice as a local effect.

Answer to Question 2

Correct Answer: 3,4,5
Rationale 1: It is only necessary to wait 23 minutes, not 15 minutes, between inhaled medications.
Rationale 2: Anticholinergic drugs will not terminate an acute asthma attack, as peak effects may take 1 to 2 hours.
Rationale 3: The client should be advised to report any symptoms of deteriorating respiratory status such as increased dyspnea.
Rationale 4: Anticholinergic drugs can result in urinary retention, and the client should report any changes in urinary patterns.
Rationale 5: To get the most benefit from ipratropium (Atrovent), it must be used consistently.