Practice Quiz

Respiratory Therapist

Category - Initiation and Modification of Interventions

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A nurse has received and charted a verbal order from a physician to administer Advair inhaler 500/50 qid. using a spacer to an end-stage COPD patient.

Is there a recommendation you can make to this order?
  1. No recommendation needed. Administer medicines as ordered.
  2. Recommend the patient receive medicine daily instead of qid.
  3. Recommend the patient not use a spacer.
  4. Recommend the frequency be bid and without a spacer.
Explanation
Answer: D-The correct ordering information for Advair inhaler 500/50 is bid and without a spacer.

Advair is a dry powder inhaler and is not able to be used with a spacer. The correct frequency for an Advair discus is twice daily (bid)y, not four times daily as charted by the nurse.
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