A nurse is assessing a client after receiving albuterol via nebulizer. The client reports feeling "nervous and shaky”. Which of the following responses by the nurse is correct?

"This is a common side effect with albuterol and will stop soon."

"You are having an allergic reaction, and I should notify the provider" -

"The albuterol is probably interacting with another medication.

"The albuterol is not working, and you will need another medication.

Answer and Explanation

The Correct Answer is A

A. "This is a common side effect with albuterol and will stop soon." Nervousness and shakiness are common side effects of albuterol due to its action as a bronchodilator and stimulant.

B. "You are having an allergic reaction, and I should notify the provider." The symptoms described are not indicative of an allergic reaction but rather a common side effect of the medication.

C. "The albuterol is probably interacting with another medication." While drug interactions can occur, the reported symptoms are typical side effects of albuterol.

D. "The albuterol is not working, and you will need another medication." The symptoms do not indicate that the medication is ineffective; they are more indicative of its stimulant effects.

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Correct Answer is D

Explanation

A. Limit caffeine intake. While caffeine can affect some patients, it is not a specific concern with inhaled corticosteroids like beclomethasone.

B. Take the medication with meals. Inhaled corticosteroids like beclomethasone are typically not taken with meals as they are inhaled, not ingested.

C. Check the pulse after medication administration. Monitoring the pulse is not necessary for beclomethasone unless the client experiences specific symptoms related to tachycardia, which is not common with inhaled corticosteroids.

D. Rinse the mouth after administration. Rinsing the mouth after using inhaled corticosteroids helps prevent oral thrush and other oral side effects associated with the medication.

A. Vomiting B. Stridor C. Hypertension D. Urticaria

Correct Answer is B

Explanation

A. Vomiting: While vomiting can occur during anaphylaxis, it is not the most immediately life-threatening symptom.

B. Stridor: Stridor indicates upper airway obstruction, which is a critical and life-threatening sign of anaphylaxis. This finding requires immediate intervention, such as administering epinephrine and ensuring airway patency.

C. Hypertension: Hypertension is not typically associated with anaphylaxis; instead, hypotension is more common due to vascular collapse.

D. Urticaria: Urticaria (hives) can occur in anaphylaxis, but it is not as urgent as stridor, which indicates a compromised airway.

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A nurse is assessing a client after receiving albuterol via nebulizer. The client reports feeling "nervous and shaky”. Which of the following responses by the nurse is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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