A nurse is reviewing the medication administration record (MAR) of a client who requires fluticasone MDI one puff and albuterol MDI two puffs. Which of the following actions should the nurse plan to take? Place the following steps in the correct order. (Move the steps into the box on the right, placing them in the selected order of performance. All steps must be used.)
Have the client take one puff of albuterol
Have the client rest for 1 min
Have the client take the second puff of albuterol
Have the client rest for 5 min
Have the client take one puff of fluticasone
The Correct Answer is A, B, C, D, E
Rationale:
- Administering albuterol first is crucial because it is a bronchodilator that will help open the airways before administering the anti-inflammatory fluticasone.
- The client should rest for 1 minute between puffs of albuterol to allow for the medication to take effect.
- After taking the second puff of albuterol, a longer rest of 5 minutes allows the client to experience the full effects of the bronchodilator.
- Finally, administering fluticasone afterward will help reduce inflammation in the airways, maximizing the benefit of both medications.
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Correct Answer is B
Explanation
Rationale:
A. Abbreviate "daily" as "QD": The abbreviation "QD" is no longer recommended because it can be confused with "QID" (four times daily), potentially leading to dangerous medication errors.
B. Abbreviate "by mouth" as "PO": "PO" is the standard and accepted abbreviation for "by mouth," and it is widely used in medical documentation without ambiguity.
C. Abbreviate "acetaminophen" as "APAP": "APAP" is not universally recognized and may lead to confusion. Using the full name of the drug "acetaminophen" is safer and clearer.
D. Abbreviate "at bedtime" as "qhs": "Qhs" is discouraged as it can be easily misinterpreted. Writing "at bedtime" without abbreviations is the recommended practice to avoid errors.
Correct Answer is B
Explanation
Rationale:
A. "I will stop taking this medication when I feel better.": The full course of antibiotics should be completed to ensure the infection is fully treated and to prevent antibiotic resistance. This statement shows a misunderstanding.
B. "This medication can increase my risk of sunburn.": Ciprofloxacin can increase sensitivity to sunlight, making the skin more prone to sunburn. Clients are advised to avoid excessive sun exposure and use sunscreen.
C. "I should take my medication daily in the morning with milk.": Ciprofloxacin should not be taken with dairy products as calcium can interfere with the absorption of the medication, reducing its effectiveness.
D. "I should stop taking my birth control pills while I'm taking this medication.": Ciprofloxacin does not require discontinuation of birth control pills, though clients should be aware of the potential for antibiotic interactions to reduce contraceptive effectiveness.