A client prescribed an albuterol inhaler calls the clinic and tells the nurse, "This medication makes me feel shaky. Can i get a different one?" How should the nurse respond?
“Shakiness is a common side effect after using an albuterol inhaler."
"I will have the healthcare provider prescribe a new medication.”
"You should take half the dose prescribed to decrease the effects."
"Stop taking the medication immediately and come to the clinic.”
The Correct Answer is A
A. Shakiness is a common side effect after using an albuterol inhaler: Albuterol is a short-acting beta-2 agonist that can stimulate beta receptors in skeletal muscle, leading to tremors or shakiness. This effect is common, dose-related, and often decreases as the body adjusts to the medication.
B. I will have the healthcare provider prescribe a new medication: Requesting a medication change is not the initial nursing response when the reported effect is expected and non-dangerous. Education and reassurance should be provided first unless symptoms are severe or interfere with therapy.
C. You should take half the dose prescribed to decrease the effects: Altering the prescribed dose without provider authorization can lead to inadequate bronchodilation and poor asthma or COPD control. Dose changes must only be made by the prescribing healthcare provider.
D. Stop taking the medication immediately and come to the clinic: Shakiness alone does not indicate a dangerous reaction requiring discontinuation or urgent evaluation. Immediate cessation is reserved for severe adverse reactions such as chest pain, severe tachycardia, or paradoxical bronchospasm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Constipation: Bile acid sequestrants bind bile acids in the intestine, which can slow gastrointestinal motility and increase stool firmness. Constipation is one of the most common adverse effects, particularly in older adults or clients with low fluid intake.
B. Bleeding: These medications do not affect platelet function or coagulation pathways. Bleeding is more commonly associated with anticoagulants or antiplatelet agents rather than lipid-lowering bile acid sequestrants.
C. Hyperglycemia: Bile acid sequestrants do not directly alter glucose metabolism or insulin activity. Elevated blood glucose levels are typically related to endocrine disorders or medications such as corticosteroids.
D. Urinary retention: Bile acid sequestrants act within the gastrointestinal tract and have minimal systemic absorption. Urinary retention is more often linked to anticholinergic medications rather than lipid-lowering agents.
Correct Answer is A
Explanation
A. Loratadine can interfere with the accuracy of the test: Loratadine is a second-generation antihistamine that blocks H1 receptors. Continuing the medication can suppress allergic responses, leading to false-negative results during allergy testing, which is why it must be discontinued several days beforehand.
B. Loratadine can cause increased sensitivity to allergens: Loratadine does not increase sensitivity to allergens. Its mechanism involves reducing the body’s allergic response, not enhancing it, so this is not a reason to stop the medication before testing.
C. Loratadine can cause hypotension during the allergy test: Loratadine does not significantly affect blood pressure. Hypotension is not a known effect of loratadine during allergy testing, so this is not a valid reason for discontinuation.
D. Loratadine can cause an allergic reaction during the test: Loratadine itself is unlikely to trigger an allergic reaction. The purpose of stopping the drug is to prevent interference with test results, not to prevent a reaction caused by the medication.
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