Editing Pharmacology – LPN Practice Questions (section)

==Question 7==
A client with chronic obstructive pulmonary disease is prescribed both an albuterol inhaler and a fluticasone inhaler. Which instruction should the nurse reinforce?
# "Use the fluticasone first, then the albuterol."
# "Use the albuterol first, wait as directed, then use the fluticasone, and rinse your mouth afterward."
# "Use both inhalers at the same time."
# "Use the fluticasone only when you feel short of breath."

'''Answer:''' 2 (B) "Use the albuterol first, wait as directed, then use the fluticasone, and rinse your mouth afterward."

''Rationale:'' The bronchodilator is used first to open the airways so the inhaled corticosteroid is deposited more effectively. Rinsing the mouth after the corticosteroid prevents oral candidiasis and hoarseness. Option 1 reverses the order. Option 3 does not allow the bronchodilator to act. Option 4 confuses the controller with the rescue drug; fluticasone is scheduled and is not a rescue medication.