A nurse is reinforcing teaching with a client about the use of budesonide for asthma management.
Which of the following statements by the adolescent indicates an understanding of the teaching?
A.
“I will take my inhaler treatment before each meal and at bed time.”
B.
“I should use my inhaler when I have an asthma attack.”
C.
“I should use my inhaler before exercising.”
D.
“I will rinse my mouth and gargle with water after each inhaler treatment.”
The correct answer is D. “I will rinse my mouth and gargle with water after each inhaler treatment.”
Explanation:
Budesonide is an inhaled corticosteroid used for long-term control of asthma. It helps to reduce inflammation in the airways and prevent asthma symptoms. However, inhaled corticosteroids can increase the risk of oral thrush, a fungal infection in the mouth. To reduce this risk, it is important for the client to rinse their mouth and gargle with water after each use of the inhaler.
Let’s review the other options:
- A. “I will take my inhaler treatment before each meal and at bedtime.”
This is incorrect because budesonide is not typically scheduled around meal times. It is usually taken at regular intervals as prescribed by the healthcare provider. - B. “I should use my inhaler when I have an asthma attack.”
This is incorrect because budesonide is not a rescue inhaler for immediate relief during an asthma attack. A short-acting bronchodilator (like albuterol) should be used for quick relief during an attack. - C. “I should use my inhaler before exercising.”
This is incorrect because budesonide is not typically used as a pre-exercise medication. Instead, a short-acting bronchodilator is often recommended before exercise to prevent exercise-induced bronchospasm.
Therefore, the correct understanding is reflected in D, where the adolescent recognizes the importance of rinsing their mouth after using the inhaler to prevent potential side effects like oral thrush.