A client presents to the clinic with concerns that they are using their albuterol inhaler more frequently than prescribed. Which clinical finding should the nurse anticipate?

Lethargy

Weight gain

Hypotension

Tachycardia

Answer and Explanation

The Correct Answer is D

A. Lethargy: Lethargy is not typically associated with overuse of albuterol. Albuterol is a beta-2 agonist that primarily stimulates the sympathetic nervous system, which usually increases alertness rather than causing sedation.

B. Weight gain: Weight gain is not a known side effect of albuterol overuse. Albuterol’s effects are more acute and related to cardiovascular and respiratory systems rather than fluid retention or metabolic changes that cause weight gain.

C. Hypotension: Albuterol can cause mild vasodilation, but hypotension is not a common clinical finding with overuse. Instead, sympathetic stimulation often leads to increased heart rate and blood pressure fluctuations rather than consistent low blood pressure.

D. Tachycardia: Overuse of albuterol can lead to tachycardia because it stimulates beta-1 receptors in the heart along with beta-2 receptors in the lungs. Frequent use may indicate poor asthma control and can manifest as palpitations, elevated heart rate, and potential arrhythmias.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

• Sitting: The sitting position promotes optimal lung expansion and helps the client achieve maximum inhalation of the medication. Proper posture ensures that the airways are open and reduces the risk of aspiration or ineffective drug delivery. Sitting upright also enhances coordination between actuation and inhalation.

• Shake the inhaler: Shaking the metered dose inhaler mixes the medication and propellant evenly, ensuring a consistent and accurate dose is delivered. Failing to shake the inhaler can result in uneven dosing, reducing the effectiveness of therapy and potentially worsening the client’s respiratory symptoms.

A. A client with an emphysema exacerbation. B. A client experiencing an asthma attack. C. A client with a common cold and fever. D. A client with significant respiratory symptoms. E. A client with mild seasonal allergies.

Correct Answer is ["A","B","D"]

Explanation

A. A client with an emphysema exacerbation: Clients experiencing an acute exacerbation of emphysema often have increased airway obstruction and difficulty breathing. A small volume nebulizer delivers bronchodilators directly to the lungs, providing rapid relief of bronchospasm and improving oxygenation.

B. A client experiencing an asthma attack: During an asthma attack, airway constriction can be severe. An SVN allows precise delivery of inhaled medications like albuterol, which rapidly dilate the airways and reduce respiratory distress, making it essential for urgent intervention.

C. A client with a common cold and fever: A common cold typically causes mild upper respiratory symptoms such as congestion and runny nose. SVNs are not indicated for routine cold management, as bronchodilator therapy is not necessary in uncomplicated viral infections.

D. A client with significant respiratory symptoms: Clients showing significant respiratory distress, regardless of underlying cause, may benefit from an SVN to administer medications that relieve bronchospasm, decrease airway inflammation, and improve ventilation rapidly.

E. A client with mild seasonal allergies: Mild seasonal allergies usually present with sneezing, watery eyes, and nasal congestion without significant airway obstruction. SVNs are not indicated for mild allergic symptoms, as oral or intranasal antihistamines are sufficient.

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A client presents to the clinic with concerns that they are using their albuterol inhaler more frequently than prescribed. Which clinical finding should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client on how to self-administer a metered dose inhaler (MDI). The client should be in adropdown position and dropdownbefore use.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

A nurse is prioritizing clients in an urgent care setting. Which client(s) would benefit most from the use of a small volume nebulizer (SVN)? Select all that apply.

Correct Answer is ["A","B","D"]

Explanation

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A client presents to the clinic with concerns that they are using their albuterol inhaler more frequently than prescribed. Which clinical finding should the nurse anticipate?