Question

a nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and albuterol inhalers. which of the following instructions should the nurse include in the teaching?

\take beclomethasone to avoid an acute attack.\
\use beclomethasone 5 minutes before using albuterol.\
\limit your calcium and vitamin d intake when taking beclomethasone.\

inse your mouth after inhaling the beclomethasone.\

Explanation:

Identify drug classifications

The client is prescribed two inhalers: beclomethasone and albuterol. Beclomethasone is an Inhaled Corticosteroid used for long-term control of asthma, while albuterol is a Short-Acting Beta Agonists bronchodilator used as a rescue medication.

Evaluate beclomethasone administration

Beclomethasone is a maintenance medication. It must be taken daily to prevent inflammation and will not stop an acute asthma attack. Therefore, instructing the client to take it to "avoid an acute attack" in an immediate rescue sense is incorrect.

Determine inhaler sequence

When using both a bronchodilator and a corticosteroid, the bronchodilator (albuterol) should be used first to open the airways. This allows for better penetration of the corticosteroid (beclomethasone) into the lungs. The client should wait about 5 minutes after albuterol before using beclomethasone, not the other way around.

Assess dietary recommendations

Long-term use of inhaled corticosteroids can increase the risk of bone loss. Therefore, clients should maintain adequate intake of calcium and vitamin D, rather than limiting them.

Address local side effects

Using Inhaled Corticosteroids like beclomethasone can lead to local immunosuppression in the oral cavity, increasing the risk of oral candidiasis (thrush) and dysphonia. To practice effective Oral Candidiasis Prevention as part of comprehensive Asthma Management, the nurse must instruct the client to rinse their mouth with water and spit it out after each use of the corticosteroid inhaler.

Answer:

• "Take beclomethasone to avoid an acute attack."
• "Use beclomethasone 5 minutes before using albuterol."
• "Limit your calcium and vitamin D intake when taking beclomethasone."
• "Rinse your mouth after inhaling the beclomethasone." (Correct answer)