Author Question: A patient with chronic obstructive pulmonary disease (COPD) uses a corticosteroid inhaler bid. Which ... (Read 9 times)

Pineapplelove6 · **on:** Jul 24, 2018

A patient with chronic obstructive pulmonary disease (COPD) uses a corticosteroid inhaler bid. Which adverse effect is associated with this medication?

a. Mucositis
b. Plaque
c. Xerostomia
d. Candidiasis

Question 2

The nurse is preparing to administer two inhalations of ipratropium bromide (Atrovent). When providing this medication, the nurse will instruct the patient to (Select all that apply.)

a. hold the canister horizontally.
b. keep the eyes closed.
c. exhale through the mouthpiece.
d. wait 15 seconds before the second inhalation.
e. shake the canister thoroughly prior to use.

sarajane1989 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: D
Medications that predispose a patient to candidiasis are those that suppress the immune system, including immunosuppressants, corticosteroids, cytotoxics, and broad spectrum antibiotics. Educating patients on the importance of oral hygiene following prescribed inhalation dosages will assist in decreasing this complication. Mucositis, plaque, and xerostomia are not associated with steroid inhaler use.

Answer to Question 2

ANS: B, D, E
The eyes should be kept closed because temporary blurred vision may result if the aerosol is sprayed into the eyes. The patient should wait approximately 15 seconds and repeat the second inhalation. The canister should be shaken thoroughly prior to use. The base of the canister should be held vertically. The patient should inhale through the mouthpiece.