Nursing considerations for NSAIDs
Nursing considerations for NSAIDs ( 4 Questions)
A nurse is monitoring a client who has asthma and is receiving fluticasone (Flovent), a corticosteroid, by inhalation. What are some of the adverse effects that the nurse should watch for?
Hyperglycemia, osteoporosis, glaucoma, and cataracts: These adverse effects are associated with systemic corticosteroid use, particularly when administered orally or by injection. When using inhaled corticosteroids like fluticasone, the systemic absorption is minimal, and the risk of these adverse effects is significantly lower compared to systemic administration.
Hypoglycemia, osteomalacia, myopia, and dry eyes: Hypoglycemia is not a commonly observed adverse effect of inhaled corticosteroids like fluticasone. Osteomalacia (softening of bones) is more commonly associated with long-term systemic corticosteroid use. Myopia (nearsightedness) and dry eyes are not typically seen as adverse effects of inhaled corticosteroids.
These adverse effects are more commonly observed with inhaled corticosteroids like fluticasone. Inhaled corticosteroids can cause local side effects in the mouth and throat, such as oral candidiasis (thrush), a fungal infection. Hoarseness, cough, and dysphonia (voice changes) may also occur due to local irritation of the throat.
Oral ulcers, dysphagia, wheeze, and dyspnea: Oral ulcers, dysphagia (difficulty swallowing), wheeze, and dyspnea (difficulty breathing) are not commonly associated with inhaled corticosteroids and are not typical adverse effects of fluticasone.
These adverse effects are more commonly observed with inhaled corticosteroids like fluticasone. Inhaled corticosteroids can cause local side effects in the mouth and throat, such as oral candidiasis (thrush), a fungal infection. Hoarseness, cough, and dysphonia (voice changes) may also occur due to local irritation of the throat.
The other options are incorrect because:
A. Hyperglycemia, osteoporosis, glaucoma, and cataracts: These adverse effects are associated with systemic corticosteroid use, particularly when administered orally or by injection. When using inhaled corticosteroids like fluticasone, the systemic absorption is minimal, and the risk of these adverse effects is significantly lower compared to systemic administration.
B. Hypoglycemia, osteomalacia, myopia, and dry eyes: Hypoglycemia is not a commonly observed adverse effect of inhaled corticosteroids like fluticasone. Osteomalacia (softening of bones) is more commonly associated with long-term systemic corticosteroid use. Myopia (nearsightedness) and dry eyes are not typically seen as adverse effects of inhaled corticosteroids.
D. Oral ulcers, dysphagia, wheeze, and dyspnea: Oral ulcers, dysphagia (difficulty swallowing), wheeze, and dyspnea (difficulty breathing) are not commonly associated with inhaled corticosteroids and are not typical adverse effects of fluticasone.
