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Rinsing the mouth after using an inhaler, especially one containing corticosteroids, is essential to prevent oral thrush, a common side effect of inhaled steroids. Inhalers should be used as prescribed, even if the patient feels better, to maintain asthma or COPD control. Limiting inhaler use to specific situations, such as only when short of breath, may prevent effective disease management.

The nurse should acknowledge the patient’s feelings and offer support for coping with the emotional challenges of cancer treatment. It is important to validate the patient’s emotional experience and provide them with resources and strategies to cope with the stress and uncertainty associated with cancer. Encouraging optimism without addressing the patient’s feelings or dismissing their concerns is not helpful. Offering support shows empathy and promotes emotional well-being.

The nurse should prioritize assessing the patient’s blood glucose level and signs of dehydration. Fatigue, increased thirst, and frequent urination are common symptoms of hyperglycemia or uncontrolled diabetes. Assessing blood glucose levels helps determine whether the patient is experiencing a hyperglycemic episode. Dehydration can also result from excessive urination, which further complicates diabetes management. Monitoring electrolytes and weight are also important but secondary to managing glucose levels and dehydration.

Feelings of hopelessness and worthlessness are the most concerning symptoms in a patient with depression, as they may indicate a high risk for suicidal ideation or severe depression. The nurse should assess the patient’s safety and mental health status and take appropriate actions to ensure the patient’s well-being. While other symptoms, such as lack of interest in activities and sleep disturbances, are common in depression, hopelessness is a more severe sign.

The nurse should prioritize measuring the patient’s peak flow readings and oxygen saturation levels. These measurements help determine the severity of asthma symptoms and whether the patient is experiencing an asthma exacerbation. Monitoring peak flow and oxygen saturation is critical for assessing airway function and making decisions about treatment, including adjusting medications. While exercise tolerance is important, peak flow and oxygen saturation are more immediately relevant in this situation.