Author Question: A patient who uses an inhaled glucocorticoid medication reports having a sore tongue. The nurse ... (Read 23 times)

mia · **on:** Jul 23, 2018

A patient who uses an inhaled glucocorticoid medication reports having a sore tongue. The nurse notes white spots on the patient's tongue and oral mucous membranes.

After notifying the provider, the nurse will remind the patient to perform which action?
a. Avoid using a spacer with the inhaled glucocorticoid medication.
b. Clean the inhaler with hot, soapy water after each use.
c. Consume yogurt daily while using this medication.
d. Rinse the mouth thoroughly with water after each use.

Question 2

The nurse provides teaching for patient who will begin taking montelukast sodium (Singulair). The patient reports sensitivity to aspirin. Which statement by the patient indicates a need for further teaching?

a. I will need to have periodic laboratory tests while taking this medication.
b. I will not take ibuprofen for pain or fever while taking this drug.
c. I will take one tablet daily at bedtime.
d. I will use this as needed for acute symptoms.

cloud · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
When using inhaled glucocorticoid medications, Candida albicans oropharyngeal infections may be prevented by rinsing the mouth and throat with water after each dose. Patients should also use a spacer to reduce deposits of the drug in the oral cavity. The inhaler should be washed with warm water daily, but not after each use. There is no indication that yogurt is effective.

Answer to Question 2

ANS: D
Montelukast and other leukotriene receptor antagonists are not used to treat acute symptoms. Because they can affect liver enzymes, periodic liver function tests should be performed. Patients taking this drug should not use ibuprofen or aspirin for pain or fever if they have an aspirin sensitivity. Patients will achieve maximum effectiveness if the drug is taken in the evening.