# A client uses albuterol and fluticasone inhalers. Drag each statement into the appropriate category.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=522092&lang=en  
> language: en  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## Question

A client uses albuterol and fluticasone inhalers. Drag each statement into the appropriate category.

**1.** Use albuterol for acute wheezing according to the action plan

Select a category
Unsafe
Appropriate

**2.** Take fluticasone on the prescribed daily schedule

Select a category
Unsafe
Appropriate

**3.** Rinse the mouth with water and spit after fluticasone

Select a category
Unsafe
Appropriate

**4.** Use fluticasone as the only rescue for sudden severe wheezing

Select a category
Unsafe
Appropriate

**5.** Stop fluticasone whenever symptoms briefly improve

Select a category
Unsafe
Appropriate

**6.** Swallow the rinse water after each fluticasone dose

Select a category
Unsafe
Appropriate

## Explanation

Albuterol is used for acute symptoms according to the action plan, while fluticasone is a scheduled controller and requires rinsing and spitting after inhalation.

## In-depth explanation

Quick answer
Separate rescue therapy, controller therapy, and unsafe substitutions.

Why this is correct
Inhaled corticosteroid does not replace a short-acting bronchodilator for acute bronchospasm, and mouth rinsing reduces local candidiasis risk.

Easy analogy or mental picture
Treat medication safety like airway triage: identify the threat, interrupt exposure, support physiology, and verify a durable response.

Memory hook
Cue, risk, action, response, recurrence check.

NCLEX decision rule
Choose the action that prevents the most immediate medication-related harm while preserving reassessment and escalation.

Why the other choices are wrong
Options that normalize deterioration, add interacting medication, or delay rescue leave the safety loop open.References
1DailyMed: Fluticasone Propionate HFAController use, short-acting beta agonist rescue, and mouth rinsing after inhaled corticosteroid

## Clinical scenario

Medication safety review
Verify the indication, current assessment, respiratory and neurologic status, interactions, authorized rescue action, and measurable follow-up.

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