A patient with asthma is prescribed a corticosteroid inhaler. What should the nurse include in the teaching?

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Question 1 of 5

A patient with asthma is prescribed a corticosteroid inhaler. What should the nurse include in the teaching?

Correct Answer: B

Rationale: The correct answer is B: Rinse your mouth after using the inhaler. Rinsing the mouth helps prevent oral thrush, a common side effect of corticosteroid inhalers. Choice A is incorrect because inhalers are not meant for acute attacks. Choice C is incorrect because corticosteroid inhalers are usually taken regularly, not necessarily before meals. Choice D is incorrect because spacers can improve the delivery of medication from inhalers.

Question 2 of 5

The nurse discusses acute sinusitis management with a patient. Which statement indicates the need for further teaching?

Correct Answer: B

Rationale: The correct answer is B. Nasal decongestant sprays should not be used for more than 3 days due to the risk of rebound congestion. Choice A promotes hydration, which is beneficial. Choice C supports pain management. Choice D encourages monitoring for changes in nasal secretions, which is important for tracking progress. Long-term use of nasal decongestant sprays can worsen symptoms.

Question 3 of 5

A patient with pneumonia reports severe pleuritic chest pain. What is the nurse's priority action?

Correct Answer: A

Rationale: The correct answer is A: Administer prescribed pain medication. Severe pleuritic chest pain in a patient with pneumonia indicates inflammation of the pleura, which can be very distressing and require immediate relief. Administering pain medication will help alleviate the patient's discomfort, improve breathing, and enhance their overall well-being. Positioning the patient in high Fowler's (choice B) may help with breathing but does not address the immediate pain relief needed. Encouraging deep breathing exercises (choice C) may exacerbate the pain. Applying warm compresses to the chest (choice D) may provide some comfort but does not directly address the severe pain.

Question 4 of 5

What is the priority intervention for a patient experiencing an asthma attack?

Correct Answer: A

Rationale: The correct answer is A: Administer albuterol via inhaler. Albuterol is a bronchodilator that helps open the airways during an asthma attack, providing quick relief. This intervention addresses the underlying issue of bronchoconstriction, improving airflow and oxygenation. Other choices are not the priority: B could potentially worsen the condition by diluting the inspired oxygen with room air, C may not directly address the airway obstruction, and D, while helpful for managing symptoms, does not directly target bronchoconstriction during an acute attack.

Question 5 of 5

A patient with COPD complains of worsening fatigue and dyspnea. Which assessment finding requires immediate attention?

Correct Answer: B

Rationale: The correct answer is B: Oxygen saturation of 82% on room air. This finding indicates severe hypoxemia in a patient with COPD, necessitating immediate attention to prevent complications like respiratory failure. Clubbing of the fingers (choice A) is a sign of chronic hypoxia but does not require immediate attention. Increased anterior-posterior chest diameter (choice C) and barrel chest appearance (choice D) are common in COPD but do not indicate an acute issue requiring immediate intervention. Oxygen saturation is a crucial parameter to monitor in COPD patients as it directly reflects their respiratory status.

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