A client with emphysema is reporting a difficulty in breathing and exhibiting an audible wheezing. The nurse administers albuterol as prescribed for the third time within the last 12 hours. Which assessment finding warrants immediate intervention by the nurse?

Uncontrollable shaking.

Increased anxiety.

Irregular rapid heart rate.

Throat irritation.

Answer and Explanation

The Correct Answer is C

A.   This could indicate tremors, which are a common side effect of albuterol due to its action as a beta-2 agonist. While it can be uncomfortable for the client, it is generally not life-threatening and can be monitored unless it severely affects the client’s ability to function.
B.   Increased anxiety can occur due to hypoxia, difficulty breathing, or as a side effect of albuterol. While concerning, it does not typically require immediate intervention unless it leads to further complications or severe distress.
C.   Albuterol can cause tachycardia (rapid heart rate) and arrhythmias as side effects, particularly with frequent use. An irregular rapid heart rate can be indicative of significant cardiac distress and may lead to serious complications. This finding warrants immediate intervention as it poses a risk to the client’s safety and may indicate potential worsening of the condition or an adverse reaction to the medication.
D.   Throat irritation can occur with inhaled medications and, while uncomfortable, it is generally not an urgent concern. It does not require immediate intervention unless it leads to significant complications like severe swelling or difficulty swallowing.

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Correct Answer is A

Explanation

A. Topical corticosteroids help reduce inflammation, itching, and scaling associated with psoriasis. They are effective for managing flare-ups and can be applied directly to the affected areas. Given the client’s report of persistent symptoms, this option would be appropriate for providing relief.
B. Topical analgesics are used to relieve pain and discomfort, but they do not address the underlying inflammation or scaling of psoriasis. While they might help with burning sensations, they are not a primary treatment for psoriasis itself. Therefore, this choice is not the best option for this client.
C. Colloidal oatmeal is often used for its soothing properties and can provide relief from itching and irritation. However, it is more of a supportive treatment rather than a primary therapy for psoriasis. It might help soothe the skin but wouldn’t specifically address the underlying psoriatic lesions effectively.
D. Topical antifungal medications are used to treat fungal infections, not psoriasis. Since psoriasis is an autoimmune skin condition and not caused by a fungal infection, this option would not be appropriate for the client’s symptoms.

A. Biliary duct obstruction. B. Surgical site infection. C. Hepatorenal failure. D. Acute pancreatitis.

Correct Answer is D

Explanation

A. While biliary duct obstruction can cause abdominal pain, vomiting, and fever, it would typically present with jaundice, which is not mentioned in the scenario.
B. Surgical site infections can cause pain, fever, and elevated white blood cell count, but they would not typically present with vomiting or elevated serum amylase and lipase.
C. Hepatorenal failure would present with elevated liver enzymes, decreased urine output, and other signs of renal dysfunction, which are not mentioned in the scenario.
D. The client's presentation of persistent upper abdominal pain, vomiting, fever, and elevated serum amylase and lipase is consistent with acute pancreatitis. This condition occurs when pancreatic enzymes become activated within the pancreas itself, causing inflammation and tissue damage.

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A client with emphysema is reporting a difficulty in breathing and exhibiting an audible wheezing. The nurse administers albuterol as prescribed for the third time within the last 12 hours. Which assessment finding warrants immediate intervention by the nurse?

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A client with psoriasis returns to the clinic reporting the persistence of several silvery, scaly areas on the elbows and palms that frequently burn and sometimes bleed. Which prescription should the nurse teach the client to use for the skin condition?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

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A client with emphysema is reporting a difficulty in breathing and exhibiting an audible wheezing. The nurse administers albuterol as prescribed for the third time within the last 12 hours. Which assessment finding warrants immediate intervention by the nurse?