Question

A. Sophia, age 68 years, is brought to the ER by her daughter with nasal discharge, a persistent cough and wheezing. Sophia’s daughter states that Sophia has a history of viral-induced asthma. Sophia is being discharged to home today with a prescription for a new inhaler with a spacer. The nurse asks the daughter if Sophia has been using an inhaler with a spacer, and the daughter replies that Sophia has not.

1. What will the nurse teach the mother about the benefits of using a spacer?

Answer:  
Rationale:

2. Sophia is also prescribed a long-term inhaler. The nurse anticipates that this inhaler will contain the drug salbutamol. What patient teaching will the nurse provide about this medication?

Answer:  
Rationale:

B. Jose is a 62-year-old man who works at a local hospital. While he is visiting with his neighbour, who is a nurse, Jose mentions that he is having trouble urinating. He states that he has difficulty starting his urine stream, has to urinate often during the day, and “even has to get up three times a night” to urinate. The nurse suggests that Jose see his family physician. After seeing his provider, Jose seeks out the nurse to talk about the diagnosis.

1. What does the nurse suspect is causing Jose’s urination problems?

Answer:

Rationale:

2. The physician prescribed tamsulosin (Flomax) for Jose. How does tamsulosin help treat enlargement of the prostate?

Answer:

Rationale:

Answer 1

Answer: The nurse should inform mother about the spacer as it is used in asthma. Spacer makes medication to reach to the lungs easily, and the deposition of the medication in the mouth an throat will be decrease. That means the medication will not get wasted.

The nurse should gives instructions about the salbutamol as it causes mild headache, bad breath as well as sometimes dry mouth and cough.

Case B

Answer: It is an age related disease in which the prostate gland get enlarged which causes difficulty in urination. The nurse anticipated this because the symptoms is of prostate gland enlargement which causes frequent urination as well as painful urination.

The tamsulosin is used in this disease as it relieves pain. It is an alpha blockers that relaxes the muscles and reduces the pain, hence help in urination.