A nurse is teaching a client who has a new

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A nurse is teaching a client who has a new prescription for beclomethasone. Which of the following instructions should the nurse include? A. "Rinse your mouth after each use of this medication." B. "Limit fluid intake while taking this medication." C. "Increase your intake of vitamin B12 while taking this medication." D. "You can take the medication as needed." A. CORRECT: The client should rinse her mouth after each use to reduce the risk of oral fungal infections. B. A client who has asthma should increase fluid intake to liquefy secretions, unless contraindicated by another condition. C. Glucocorticoids place the client at risk for bone loss. There is no need for the client to increase her intake of vitamin B12. The client should ensure an adequate intake of calcium and vitamin D. D. Beclomethasone is an inhaled glucocorticoid and is taken on a fixed schedule. A nurse is providing instructions to a client who has a new prescription for albuterol and beclomethasone inhalers for the control of asthma. Which of the following instructions should the nurse include in the teaching? A. Take the albuterol at the same time each day. B. Administer the albuterol inhaler prior to using the beclomethasone inhaler.
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C. Use beclomethasone if experiencing an acute episode. D. Avoid shaking the beclomethasone before use. A. Albuterol is a short acting inhaled beta2-agonist and used for short term relief of bronchospasm. B. CORRECT: When a client is prescribed an inhaled beta2-agonist (such as albuterol) and an inhaled glucocorticoid (such as beclomethasone), the client should take the beta2-agonist first. The beta2-agonist promotes bronchodilation and enhances absorption of the glucocorticoid. C. Beclomethasone is administered on a fixed schedule. It is not used to treat an acute attack. D. The client should shake the metered dose inhaler well before administration. A nurse is providing instructions to the parent of an adolescent client who has a new prescription for albuterol, PO. Which of the following instructions should the nurse include? A. "You can take this medication to abort an acute asthma attack." B. "Tremors are an adverse effect of this medication." C. "Prolonged use of this medication can cause hyperglycemia." D. "This medication can slow skeletal growth rate." A. I nhaled albuterol is used to abort an acute asthma episode. B. CORRECT: Tremors can occur due to excessive stimulation of beta2 receptors of skeletal muscles. C. Prolonged use of glucocorticoids can cause hyperglycemia. D. Glucocorticoids slow skeletal growth rate in children and adolescents. However, height when the child reaches adulthood is not reduced. A nurse is teaching a client who has a prescription for long-term use of oral prednisone for treatment of chronic asthma. The nurse should instruct the client to monitor for which of the following adverse effects of this medication?
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  • Spring '12
  • STAFF
  • Pharmacology, Morphine, Therapeutic effect, Adverse drug reaction

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