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
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.
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 ["B","C","D"]
Explanation
A. Stop taking theophylline if you begin smoking: While smoking significantly increases the metabolism of theophylline (requiring a dose increase to stay effective), the patient should never just stop the medication. Instead, they must notify their provider so the dosage can be adjusted.
B. Theophylline should be taken every day: Theophylline is used for maintenance therapy in conditions like asthma or COPD. Consistent daily dosing helps maintain therapeutic serum levels and prevent exacerbations.
C. Headaches may occur when taking theophylline: Headache is a common side effect due to central nervous system stimulation. Clients should be informed so they can recognize mild, expected reactions versus more serious adverse effects.
D. Report palpitations to your healthcare provider: Theophylline can cause cardiac stimulation, including tachycardia or palpitations. Reporting these symptoms promptly helps prevent serious arrhythmias and allows for dosage adjustment if needed.
E. If you forget your dose, take two the next day: Doubling the dose to make up for a missed one increases the risk of toxicity, including seizures or severe cardiac effects. Clients should take only the next scheduled dose as prescribed.
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