Posted: January 10th, 2017

Which of the following health promotion activities should the nurse include in the discharge teaching plan for a client with asthma?

A client is prescribed metaproterenol (Alupent) via a metered dose inhaler (MDI), two puffs every 4 hours. The nurse instructs the client to report side effects. Which of the following are potential side effects of metaproterenol?

1. Irregular heartbeat
2. Constipation
3. Petal edema
4. Decreased heart rate.

83.  A client has been taking flunisolide (Aerobid), two inhalations a day, for treatment of asthma. He tells the nurse that he has painful, white patches in his mouth. Which response by the nurse would be the most appropriate?

1. “This is an anticipated side-effect of your medication. It should go away in a couple of weeks.”
2. “You are using your inhaler too much and it has irritated your mouth.”
3. “You have developed a fungal infection from your medication. It will need to be treated with an antibiotic.”
4. “Be sure to brush your teeth and floss daily. Good oral hygiene will treat this problem.”

84.  Which of the following health promotion activities should the nurse include in the discharge teaching plan for a client with asthma?

1. Incorporate physical exercise as tolerated into the treatment plan.
2. Monitor peak flow numbers after meals and at bedtime.
3. Eliminate stressors in the work and home environment
4. Use sedatives to ensure uninterrupted sleep at night.