a nurse is teaching a client about using intranasal glucocorticoids

Recall that ACTH is the precursor hormone to cortisol secretion. Kate lives on her own in a one bedroom flat. "I will drink 500mL of fluid or less each day." Take this drug at bedtime as a sleep aid. Assume a side-lying position, extend the arm over the head, and alternate deep breathing with coughing. Option C: Once developed, thrush must be treated by … The nurse is teaching a client about the structures of the GI tract. Men and women who are obese C. … … For example,for a patient taking nasal corticosteroids and 800–1,000mcg of BDP equivalent/day, a corticosteroid safety card is recommended. The nurse should explain that the diet will most likely consist of which of the following? Select all that apply. Nebulised drugs require a compressed gas (air or oxygen) to break a liquid form of the drug into a fine mist, which is then inhaled by the patient. Option B: Although good oral hygiene can help prevent the development of a fungal infection, it cannot be used alone to treat the problem. Corticosteroids and live vaccines. Nurses, patients and carers must have an up-to-date knowledge and understanding of the therapeutic effects and potential side-effects of the topical drugs they are using for eye conditions. b. Chronic use of glucocorticoids (such as prednisone) can cause disruptions in the hormone feedback loop involving the pituitary gland and the secretion of ACTH. and use of accessory muscles. 1) A 50-year-old with chest pain 2) A 13-year-old with an asthma attack 3) A 2-month-old that is fussy 4) A 90-year-old with cyclical vomiting . Nursing Interventions. Brief Description: Epistaxis is a nasal hemorrhage that can occur as the result of picking the nose, trauma, the insertion of a foreign body into the nose, multiple traumas, nasal dryness and the use of anticoagulant medications. Note: Credit will be given only if all correct choices and no incorrect choices are selected. 2. *Monitor for signs of infections. A child receiving either 2 mg/kg/day for … what action should the nurse take to initiate care of the client? Pericarditis is a common cardiac problem in clients with SLE. A client is prescribed the decongestant oxymetazoline (Afrin) nasal spray. Anterior Pituitary Growth Hormone: SE & Adverse Effects-hyperglycemia -hypothyroidism. The nurse must first assess the client's nares because broken mucous mem- branes allow direct access … Client education as it relates to first-and second-generation H 1-receptor antagonists should in-clude the goals of therapy; the reasons for obtaining base-line data such as vital signs, ECG, and laboratory blood work, and the existence of underlying liver and renal disor-ders; and possible drug side effects. Potential Nursing Diagnoses ... *Monitor for concurrent use of systemic corticosteroids. D. Do not use … Use the ambu bag to ventilate the client. 1-Headache 2-Vulval Pain 3-Runny Nose 4-Flushed Skin 3, Runny Nose Desmopressin administered by the intranasal route can cause a runny or stuffy nose. Topical. No definitive diagnostic tool exists for SLE. 3. Client Education. … The client should eliminate exposure to the allergen and be prepared for a reaction if one occurs. v 5 A nurse is planning a community health screening for a group of clients who are at risk for type 2 diabetes mellitus. "I will eat foods low in iron." c. This drug may be used in maintenance treatment for asthma. This type of medication can cause rebound congestion if used too long. Nervousness C. Lethargy D. Hyperkalemia 2. What should a nurse teach a client started on nasal decongestants? A 33-year-old … Loss of skin collagen and SC atrophy; local hypopigmentation of deeply … Fluticasone is a nasal spray medication that can relieve allergies. Corticosteroids. Anterior Pituitary Growth Hormone: Nursing Interventions & Client Education-monitor growth patterns-reconstitute medication (do not shake)-administer SQ per protocol-dose is individualized. They should also ensure the drugs are used at the correct time and in the correct order (Table 1), with an appropriate time lapse (ideally five minutes) between drugs when … Question 4: see full question Which of the … Your doctor may want you to watch your calories to prevent weight … Based on these findings. Do not stop using this drug without consulting health care provider. The nurse notes that the client is dyspneic. A: Allow at least 2 weeks for the full therapeutic effect. (Use with caution in patients with: tuberculosis, untreated fungal, bacterial or viral infections due to possible development of … Elkin, Perry and Potter (2007) outlined nursing … Both sprays may be used together for a client with chronic rhinitis but not for seasonal allergies. glucocorticoids can take 2 or 3 weeks to see the full therapeutic effect of intranasal glucocorticoids. Live vaccines should not be given within three months of: An adult receiving 40 mg/day of prednisolone or equivalent for more than a week. Posterior Pituitary Hormones/ADH: Action. The nurse is instructing a client regarding intranasal desmopressin (DDAVP). -avoid concurrent use of glucocorticoids. Which of the following statements by the client indicates a need for further teaching? Read OTC labels; Don't take longer than 5 days; Lie down or hyperextend neck to instill; Blow nose prior to instillation of sprays or solutions . CHAPTER 4 The Client with Alterations in Respiratory Function ASTHMA Asthma is a disorder characterized by intermittent and reversible obstruction of the airways. Many nursing students use this site for their test banks because we really care about nursing students \ MC A+C. Auscultation of the lung fields reveals greatly diminished breath sounds. Which structures should the nurse include in the teaching session? Her daughter stated that Kate has a very active social life; she enjoys going out for shopping using a shopping trolley. a. Client Teaching. The nurse is planning to teach a client with COPD how to cough effectively. If you will be using corticosteroids for a long time: Your doctor may want you to follow a low-salt diet and/or a potassium-rich diet. A 50-year-old with chest pain "I will wear support hose when I am up." Which of the following instructions should the nurse include in the teaching plan? She has a daughter who lives one street away and visits her frequently. This lesson will discuss the nursing implications and drug interactions associated with fluticasone. Budesonide PC. Notify the respiratory therapist immediately. Use the inhalational bronchodilator drug before using the oral inhalant product when using both. Therapeutic Use. Administer decongestant nose drops first if nasal passages are blocked. Which information should the nurse teach? "I will use an electric razor for shaving." Miriam, a … What should the nurse teach the client? 53. NURSING PROCESS STEP: Planning CLIENT NEEDS CATEGORY: Physiological integrity CLIENT NEEDS SUBCATEGORY: Basic care and comfort COGNITIVE … 1. Which of the following clients should the nurse include in the screening? This airflow obstruction is caused by bronchial hyperresponsiveness and inflammation of the airway mucous membranes. … Dr. Jones prescribes albuterol sulfate (Proventil) for a patient with newly diagnose asthma. A. By decreasing nasal congestion, they also help w/ sinusitis in addition to allergic rhinitis. Concomitant use of a local nasal decon- gestant spray may increase the risk of nasal irritation or bleeding. While waiting for the ambulance, the nurse repeats the SpO 2 and finds Mr. Whaley’s SpO 2 is only 89%. 1. Indicate the correct order of the steps the client should take to use the MDI appropriately A.Shake the inhaler immediately before use B.Hold breath for 5 to 10 seconds and then exhale C.Activate the MDI on inhalation The nurse receives the following client assignment. Allergens enter the airway and initiate the inflammatory cascade. (Select all that apply.) Have antiinflammatory axn thus 6 litres/minute … When teaching the patient about this drug, the nurse should explain that it may cause: A. Nasal congestion B. Which client should the nurse see first? As the nurse, you must determine which inhaler you will administer first. Patients on prolonged treatment with potent inhaled or nasal corticosteroids should have the same precautions taken as above before surgery. Which of the following instructions should be included? with a respiratory rate of 35 breaths/minute. She increases his oxygen to 4 lpm, … Include the following points when teaching clients about … nasal flaring. a. In normal conditions, when cortisol levels are low, the pituitary gets the signal to secrete ACTH which tells the adrenal glands to release cortisol. Options 1 (Headache), 2 (Vulval Pain) and 4 (Flushed … A nurse is teaching a client about taking antihistamines. The nurse is caring for a client on a mechanical ventilator and the alarm goes off. This is a pharmacology NCLEX practice question on bronchodilators and corticosteroids used to treat asthma. Your doctor may have you take a bisphosphonate (alendronate [e.g., Fosamax], risedronate [e.g., Actonel]) to help prevent and treat bone problems while you are taking a corticosteroid. The nurse locates a portable oxygen tank and places the patient on 2 lpm oxygen via nasal cannula. The nurse is preparing to teach a client with a peptic ulcer about the diet that should be followed after discharge. Corticosteroids are the medication action group most commonly used to treat SLE. Steroids, effective for Tx of Allergic Rhinitis. Liver. Take several rapid, shallow breaths and … *Instruct patient to completely disclose all other medications he/she is taking. Stomach. 8.A client begins to sneeze and have an increase in nasal secretions. 3. 100 Respiratory NCLEX questions COMPLETE QUESTIONS AND ANSWERS SOLVED SOLUTION 2021 1. Before prescribing, patients should always have their therapy reviewed for continued appropriateness and if necessary, issued an ICS card. The nurse should tell the client that which occurrence is a side effect of the medication? Operating machinery and driving may be dangerous when taking antihistamines. B. Evaluation of a client using decongestants include: ... Use of oral inhalant corticosteroids, such as flunisolide, can lead to the development of oral thrush, a fungal infection. A. men who smoke B. A nurse is teaching a client to use a metered dose inhaler (MDI) to administer his bronchodilator medication. Based on these findings, Mr. Whaley’s PCP decides to call an ambulance to send Mr. Whaley to the Emergency Department (ED). The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. She takes regular bronchodilators and corticosteroids in the form of inhalers and tablets. Inhalation: give at regular intervals 1-2 x a day, give jet nebulier connected to compressor w airflow Intranasal: prime … There is no … If a patient is using nasal corticosteroids and an ICS, they should be assessed individually. Take a deep abdominal breath, bend forward, and cough 3 to 4 times on exhalation. nasal glucocorticoids decrease inflammation associated w/ allergic rhinitis. This question provides a scenario about prescribed medications for a patient with asthma. Directly spray away from the nasal septum and gently sniff. High … Respiratory inhalant, intranasal preparation. Glucocorticoids have potent anti-inflammatory and _____ properties and increase the client’s susceptibility to infection. promote … Which of the following instructions should the nurse include? Question 1: see full question Which hormone is released by activation of the sympathetic nervous system? Question 2: see full question Which of the following is a therapeutic effect of calcitonin? Question 3: see full question Which of the following are considered anterior pituitary hormones? Select all that apply. Do not use more often than prescribed. Signs and Symptoms: Hemodynamic instability and hypovolemia when the hemorrhage is severe, panic, and fear Bland foods b. High-protein foods c. Any foods that are tolerated d. Large amounts of milk Ans: C – diet therapy for ulcer disease is a controversial issue. The nurse should educate the client, but this is not the first intervention. Which action should the nurse implement first? C. The effect of antihistamines is not felt until a day later. The nurse is unable to determine what is wrong with the ventilator and the client is in respiratory distress. Increase the amount of sprays used until the desired effect has been reached. 6.A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. NURS 406 Capstone Med Surg Assessment 1. A nurse is teaching a client about using a continuous positive airway pressure CPAP device to treat obstructive sleep apnea. Respiratory inhalant use: Control of bronchial asthma that requires corticosteroids along with other therapy; Intranasal use: Relief of symptoms of seasonal or perennial rhinitis that respond poorly to other treatments; prevention of recurrence of nasal polyps following surgical removal ; Adverse effects .