After taking the medication guaifenesin (Mucinex), the client ...

[moongchi]

After taking the medication guaifenesin (Mucinex), the client complains of coughing up phlegm. What is the best response by the nurse?
 
  1. This requires further investigation.
  2. This is indicative of an allergic reaction.
  3. This means there is probably more pathology present.
  4. This is normal.

Question 2

A client has prescriptions for albuterol (Proventil HFA) and salmeterol (Serevent). Which instruction should the nurse provide for this client?
 
  1. They should not be taken together.
  2. The order of administration does not matter.
  3. Take salmeterol first.
  4. Take albuterol first.

[Kedrick2014]

Answer to Question 1

4

Rationale 1: This is the expected outcome of guaifenesin.
Rationale 2: This is not indicative of an allergic reaction.
Rationale 3:This means there is probably more pathology present is incorrect because this is the expected outcome of guaifenesin.
Rationale 4: Guaifenesin, an expectorant, stimulates the flow of bronchial secretions. The increased secretions thin the mucus, allowing it to be removed with less forceful coughing.

Global Rationale: Guaifenesin, an expectorant, stimulates the flow of bronchial secretions. The increased secretions thin the mucous, allowing it to be removed with less forceful coughing.

Answer to Question 2

4

Rationale 1: The albuterol should be taken first.
Rationale 2: Albuterol is a bronchodilator and should be used before the anti-inflammatory drug salmeterol. The bronchioles should be opened in order for the action of the anti-inflammatory drug to be most effective.
Rationale 3: Albuterol is a bronchodilator and should be used before the anti-inflammatory drug salmeterol.
Rationale 4: Albuterol is a bronchodilator and should be used before the anti-inflammatory drug salmeterol. The bronchioles should be opened in order for the action of the anti-inflammatory drug to be most effective.

Global Rationale: Albuterol is a bronchodilator, and should be used before the anti-inflammatory drug salmeterol. The bronchioles should be opened in order for the action of the anti-inflammatory drug to be most effective. The medications should not be taken together. The order of administration does matter. The salmeterol should be taken second.

[moongchi]

Thank you!

[Kedrick2014]

Always glad to help...