Chapter 28: Obstructive Pulmonary Diseases Lewis: Medical-Surgical Nursing, 10th Edition

Chapter 28: Obstructive Pulmonary Diseases Lewis: Medical-Surgical Nursing, 10th Edition The nurse teaches a patient with *chronic bronchitis* about a new prescription for *Advair Diskus (combined fluticasone and salmeterol)*. Which action by the patient would indicate to the nurse that teaching about medication administration has been successful? a. The patient shakes the device before use. b. The patient rapidly inhales the medication. c. The patient attaches a spacer to the Diskus. d. The patient performs huff coughing after inhalation. - ANS b. The patient *rapidly inhales* the medication. The patient should inhale the medication rapidly. Otherwise the dry particles will stick to the tongue and oral mucosa and not get inhaled into the lungs. Advair Diskus is a dry powder inhaler; shaking is not recommended. Spacers are not used with dry powder inhalers. The nurse teaches a patient how to administer *formoterol (Perforomist)* through a *nebulizer*. Which action by the patient indicates good understanding of the teaching? a. The patient attaches a spacer before using the inhaler. b. The patient coughs vigorously after using the inhaler. c. The patient removes the facial mask when misting stops. d. The patient activates the inhaler at the onset of expiration. - ANS c. The patient removes the facial mask when misting stops.