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NCLEX-RN · Question #116

A client is being discharged with albuterol (Proventil) and beclomethasone dipropionate (Vanceril) to be administered via inhalation three times a day and at bedtime. Client teaching regarding the…

The correct answer is B. Bronchodilator followed by the glucocorticoid. (A) The client would not receive therapeutic effects of the glucocorticoid when it is inhaled through constricted airways. (B) Bronchodilating the airways first allows for the glucocorticoid to be inhaled through open airways and increases the penetration of the steroid for…

Physiological Integrity: Pharmacological and Parenteral Therapies

Question

A client is being discharged with albuterol (Proventil) and beclomethasone dipropionate (Vanceril) to be administered via inhalation three times a day and at bedtime. Client teaching regarding the sequential order in which the drugs should be administered includes:

Options

  • AGlucocorticoid followed by the bronchodilator
  • BBronchodilator followed by the glucocorticoid
  • CAlternate successive administrations
  • DAccording to the client's preference

How the community answered

(26 responses)
  • A
    4% (1)
  • B
    92% (24)
  • C
    4% (1)

Explanation

(A) The client would not receive therapeutic effects of the glucocorticoid when it is inhaled through constricted airways. (B) Bronchodilating the airways first allows for the glucocorticoid to be inhaled through open airways and increases the penetration of the steroid for maximum effectiveness of the drug. (C) Inac- Inaccurate use of the inhalers will lead to decreased effectiveness of the treatment. (D) Client teaching regarding the use and effects of inhalers will promote client understanding and

Topics

#inhaler technique#bronchodilator sequencing#inhaled corticosteroid#albuterol beclomethasone

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