A) Correct. Assessing the client's respiratory status before administering a bronchodilator is essential to evaluate the client's baseline lung function and determine the effectiveness of the medication. This assessment helps the nurse identify any signs of respiratory distress or improvement and guides further interventions.

B) Incorrect. Checking blood glucose levels is not directly related to the administration of a bronchodilator medication.

C) Incorrect. Monitoring urine output is not specifically required for the administration of a bronchodilator medication.

D) Incorrect. Instructing the client to avoid caffeine-containing foods and beverages is not directly related to the administration of a bronchodilator medication. It may be more relevant for clients taking certain respiratory medications, such as methylxanthines like theophylline.

A) Correct. Instructing the client to rinse their mouth with water after each inhalation is important when using an inhaled corticosteroid. This action helps prevent the development of oral candidiasis (thrush), a potential side effect of inhaled corticosteroids.

B) Incorrect. Inhaled corticosteroids are maintenance medications for COPD and are not intended for use on an as-needed basis during acute exacerbations. Clients should have a separate rescue inhaler for acute symptom relief.

C) Incorrect. The use of a spacer device can improve the delivery of inhaled corticosteroids to the lungs, especially for clients who have difficulty coordinating inhaler use. Therefore, it is recommended to use a spacer device when using an inhaler.

D) Incorrect. Inhaled corticosteroids provide long-term control of symptoms in COPD but do not provide immediate relief. It may take several days to weeks of consistent use for the medication to reach its full therapeutic effect.

B) Correct. Monitoring serum theophylline levels is crucial when caring for a client receiving theophylline therapy. Theophylline has a narrow therapeutic range, and monitoring blood levels helps ensure therapeutic effectiveness while minimizing the risk of toxicity. The nurse should assess the client's theophylline levels regularly and adjust the dosage as necessary.

A) Incorrect. While blood pressure monitoring is important, it is not the priority assessment specifically related to theophylline therapy.

C) Incorrect. Theophylline can affect liver function, but liver function tests are not the priority assessment in this case.

D) Incorrect. Pulmonary function tests are not directly related to theophylline therapy and do not require prioritization in this scenario.

A) Correct. Metered-dose inhalers (MDIs) require the client to coordinate their breathing with inhalation. They release a measured dose of medication in aerosol form, and the client needs to inhale deeply at the same time to ensure the medication reaches the lungs. Dry powder inhalers (DPIs), on the other hand, do not require coordination of breathing and inhalation. The client simply needs to inhale forcefully to activate the powder dispersion.

B) Incorrect. MDIs contain a propellant that helps atomize the medication and facilitate its delivery into the lungs, but this is not the main difference between MDIs and DPIs.

C) Incorrect. DPIs deliver the medication in powder form, not mist form.

D) Incorrect. DPIs do not require the use of a spacer device, unlike MDIs, which can benefit from a spacer device to improve medication delivery.

A) Correct. Monitoring the client's heart rate during and after nebulized albuterol treatment is essential. Albuterol is a beta-2 adrenergic agonist that can stimulate the sympathetic nervous system, leading to an increased heart rate (tachycardia). Monitoring the client's heart rate allows the nurse to assess for any potential adverse effects and determine the effectiveness of the medication.

B) Incorrect. Capillary refill time is not directly related to nebulized albuterol treatment and does not require prioritization in this scenario.

C) Incorrect. Bowel sounds are not directly affected by nebulized albuterol and do not require prioritization in this case.

D) Incorrect. Urine output is not directly affected by nebulized albuterol and does not require prioritization in this scenario.

C) Correct. Leukotriene receptor antagonists are not intended for immediate relief during an asthma attack. They are long-term control medications used to manage and prevent asthma symptoms. Clients should have a separate rescue inhaler for acute symptom relief.

A) Incorrect. Taking the medication on an empty stomach may enhance its absorption, although it can be taken with or without food.

B) Incorrect. Leukotriene receptor antagonists have been associated with mood changes, including depression and suicidal ideation. Therefore, it is important to notify the healthcare provider if any mood changes occur.

D) Incorrect. The client should continue using their other asthma medications as prescribed, as leukotriene receptor antagonists are often used as an adjunct therapy for asthma management.

A) Correct. Monitoring blood glucose levels is crucial when caring for a client receiving oral corticosteroid therapy. Corticosteroids can increase blood glucose levels and may cause or worsen diabetes mellitus or steroid-induced hyperglycemia. The nurse should monitor the client's blood glucose levels regularly and collaborate with the healthcare team to manage any glucose abnormalities.

B) Incorrect. Oxygen saturation monitoring is important but is not the priority assessment specifically related to oral corticosteroid therapy.

C) Incorrect. Urinary output monitoring is not specifically required for oral corticosteroid therapy and does not require prioritization in this case.

D) Incorrect. Liver function tests are not directly related to oral corticosteroid therapy and do not require prioritization in this scenario.