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    ATI LPN Pharmacology Proctored Exam 2023
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    A nurse is assisting in the care of a client. Exhibits Click to highlight the instructions the nurse should reinforce to the client. Prescribed Medication Nursing Instruction Albuterol "Take your albuterol when you are having difficulty breathing.” "Hold your breath for 20 seconds when taking your albuterol.” Salmeterol "Take the salmeterol 5 minutes before the albuterol when you need both medications." "Take the salmeterol 2 times each day." Fluticasone "Rinse out your mouth after taking the fluticasone." "Take the fluticasone as needed for an asthma attack."

    Explanation & Rationale

    Albuterol "Take your albuterol when you are having difficulty breathing.": Albuterol is a short-acting beta-agonist (SABA) used as a rescue inhaler for acute symptoms such as wheezing and shortness of breath. "Hold your breath for 20 seconds when taking your albuterol.": This is incorrect as holding the breath for 10 seconds after inhalation is sufficient to allow the medication to reach the lungs. Holding it longer is unnecessary and impractical. Salmeterol "Take the salmeterol 2 times each day.": Salmeterol is a long-acting beta-agonist (LABA) intended for long-term control of asthma symptoms, not for acute attacks. It should be taken twice daily as prescribed. "Take the salmeterol 5 minutes before the albuterol when you need both medications.": This is incorrect because salmeterol is not a rescue medication and should not be used for immediate relief. Albuterol should be taken first if both medications are prescribed together, allowing the airways to open for better absorption of salmeterol. Fluticasone "Rinse out your mouth after taking the fluticasone.": Fluticasone is an inhaled corticosteroid, and rinsing the mouth helps prevent oral thrush, a common side effect. "Take the fluticasone as needed for an asthma attack.": This is incorrect because fluticasone is a maintenance medication for inflammation and is not effective for acute asthma attacks.

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