A nurse is administering a bronchodilator medication to a client with asthma. Which of the following actions should the nurse prioritize?
Assessing the client's respiratory status before administration.
Checking the client's blood glucose levels.
Monitoring the client's urine output.
Instructing the client to avoid caffeine-containing foods and beverages.
The Correct Answer is A
A) Correct. Assessing the client's respiratory status before administering a bronchodilator is essential to evaluate the client's baseline lung function and determine the effectiveness of the medication. This assessment helps the nurse identify any signs of respiratory distress or improvement and guides further interventions.
B) Incorrect. Checking blood glucose levels is not directly related to the administration of a bronchodilator medication.
C) Incorrect. Monitoring urine output is not specifically required for the administration of a bronchodilator medication.
D) Incorrect. Instructing the client to avoid caffeine-containing foods and beverages is not directly related to the administration of a bronchodilator medication. It may be more relevant for clients taking certain respiratory medications, such as methylxanthines like theophylline.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Monitoring the client's heart rate during and after nebulized albuterol treatment is essential. Albuterol is a beta-2 adrenergic agonist that can stimulate the sympathetic nervous system, leading to an increased heart rate (tachycardia). Monitoring the client's heart rate allows the nurse to assess for any potential adverse effects and determine the effectiveness of the medication.
B) Incorrect. Capillary refill time is not directly related to nebulized albuterol treatment and does not require prioritization in this scenario.
C) Incorrect. Bowel sounds are not directly affected by nebulized albuterol and do not require prioritization in this case.
D) Incorrect. Urine output is not directly affected by nebulized albuterol and does not require prioritization in this scenario.
Correct Answer is B
Explanation
B) Correct. Monitoring serum theophylline levels is crucial when caring for a client receiving theophylline therapy. Theophylline has a narrow therapeutic range, and monitoring blood levels helps ensure therapeutic effectiveness while minimizing the risk of toxicity. The nurse should assess the client's theophylline levels regularly and adjust the dosage as necessary.
A) Incorrect. While blood pressure monitoring is important, it is not the priority assessment specifically related to theophylline therapy.
C) Incorrect. Theophylline can affect liver function, but liver function tests are not the priority assessment in this case.
D) Incorrect. Pulmonary function tests are not directly related to theophylline therapy and do not require prioritization in this scenario.
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