A client has been prescribed both a bronchodilator and a steroid medic

A client has been prescribed both a bronchodilator and a steroid medication that is delivered by inhaler. What information is essential to teach this client in regard to these medications?

1. The medications cannot be used on the same day.
2. The steroid inhaler should be used when immediate effects are necessary.
3. The bronchodilator should be used only when absolutely necessary and only after the steroid inhaler.
4. Both medications have the possible side effect of increased heart rate.

ANSWER

Correct Answer: 4
Rationale 1: The medications can be used on the same day.
Rationale 2: It is imperative for the client to understand that the steroid inhaler is not a “rescue” inhaler and should not be used for immediate relief.
Rationale 3: Although the client should be taught to use both inhalers as infrequently as possible, the client should be taught to use the inhaler when necessary. When the inhalers are used together, the bronchodilator is used first, followed by the steroid.
Rationale 4: Both of these medications have the possible side effect of increased heart rate.