NUR 2571 Exam with Questions and Verified Solutions

NUR 2571 Exam with Questions and Verified Solutions The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) how to administer multiple medications by inhalation. Which statement by the client indicates an understanding of the instruction? Select all that apply. a. "If my symptoms get worse, I can double my dosage." b. "I will wait at least 1 minute between use of my different inhalers." c. "I should consult my prescriber before using over-the-counter medications." d. "I cannot rinse my inhaler equipment because it is not supposed to get wet." e. "I should store my inhaler in the refrigerator door between uses." ANSWER Answer: B, C; The client should wait at least 1 minute between inhalations. OTC products should not be added without consulting the prescriber. Dosages should be taken exactly as prescribed. Inhaler equipment should be cleaned with mild soap, rinsed, and dried daily. The inhaler should be stored at room temperature. A client reports nervousness and tremors after beginning drug therapy with salmeterol. Which statement by the nurse is most appropriate? a. "The symptoms are common at first, but decrease over time." b. "Stop taking the medicine because the symptoms will only get worse." c. "Drinking coffee or tea will help decrease the symptoms." d. "Those symptoms indicate a worsening of the disease process." ANSWER Answer: A; Nervousness and tremors might be experienced when salmeterol (a beta-agonist) is newly administered, but they frequently decrease over time. Clients should not terminate medication use without consulting the prescriber. Caffeine would exacerbate the problem. The symptoms are likely related to the medication, and not to the disease process.