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 C
Explanation
A. Seizure: Seizures are not a common manifestation of hydralazine toxicity. While severe hypotension could contribute to CNS symptoms, seizures are not a typical or expected clinical finding with this medication.
B. Hypertension: Hydralazine is a direct vasodilator used to lower blood pressure. Hypertension is not associated with hydralazine toxicity; instead, excessive hypotension may occur if the drug effect is too strong.
C. Tachycardia: Tachycardia is a common clinical finding associated with hydralazine toxicity. The vasodilation caused by hydralazine can lead to reflex sympathetic stimulation, resulting in an increased heart rate as the body attempts to maintain cardiac output and blood pressure.
D. Constipation: Constipation is not related to hydralazine use or toxicity. This adverse effect is not expected and does not indicate toxicity from the medication.
Correct Answer is D
Explanation
A. Sneezing: Sneezing is a symptom of allergic reactions or upper respiratory irritation, not a side effect of diphenhydramine. The medication is intended to reduce allergic symptoms, including sneezing, rather than cause it.
B. Redness of the eyes: Redness of the eyes is typically related to allergies or irritation. Diphenhydramine may actually help relieve eye redness caused by allergic reactions, not induce it.
C. Hives: Hives are a manifestation of an allergic reaction. Diphenhydramine is used to treat hives, so their presence would not be an expected side effect of the medication.
D. Dry mouth: Dry mouth is a common anticholinergic side effect of diphenhydramine. The medication blocks muscarinic receptors, reducing salivary secretions, which clients should be educated to manage through hydration or sugar-free lozenges.
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