The client asks the nurse why she must continue taking her asthma ...

[mikaylakyoung]

The client asks the nurse why she must continue taking her asthma medication even though she has not had an asthma attack in several months. What is the best response by the nurse?
 
  1. The medication needs to be taken indefinitely according to your doctor, so you should discuss this with him.
  2. The medication is still needed to decrease inflammation in your airways and help prevent an attack.
  3. The medication needs to be taken or your lungs will be severely damaged and we will not be able to stop an acute attack.
  4. The medication needs to be taken for at least a year; then, if you have not had an acute attack, you can stop it.

Question 2

A client is prescribed an intranasal corticosteroid. What should the nurse include in client education about this drug?
 
  1. You may feel a burning sensation when using this drug.
  2. This drug will be most effective if used only when symptoms are present.
  3. Be careful of how hard you squeeze the container as you can inadvertently give yourself too much medication for one dose.
  4. This medication may dry out your nasal passages enough to cause nosebleed.
  5. Do not eat licorice while taking this drug.

[swimkari]

Answer to Question 1

Correct Answer: 2
Rationale 1: The nurse is able to answer the client's question; it does not need to be referred to the physician.
Rationale 2: Effective treatment of asthma includes long-term treatment to prevent attacks and decrease inflammation, as well as short-term treatment when an attack occurs.
Rationale 3: Telling a client that his or her lungs will be severely damaged is nontherapeutic; the inability to prevent an acute attack in this client is not true.
Rationale 4: Long-term treatment of asthma continues indefinitely, not for just one year.

Answer to Question 2

Correct Answer: 1,4,5
Rationale 1: The most frequently reported adverse effect of this drug is an intense burning sensation in the nose occurring immediately after spraying.
Rationale 2: The drug often takes 1 to 3 weeks to achieve peak response and should be started in advance of expected need.
Rationale 3: The medications are provided in metered-spray devices.
Rationale 4: Excessive drying of the nasal mucosa may occur, which leads to epistaxis.
Rationale 5: Licorice may potentiate the effects of corticosteroids.

[mikaylakyoung]

Gracias!

[31809pancho]

Excellent