A nurse is assessing a client who is receiving nebulized albuterol. The nurse should identify which of the following as an adverse effect of albuterol?

Heart rate 112/min

Blood pressure 108/60 mm Hg

Temperature 38.3° C (101° F)

Respiratory rate 14/min

Answer and Explanation

The Correct Answer is A

A. Albuterol, a beta2-adrenergic agonist, can cause tachycardia as an adverse effect due to systemic absorption and stimulation of beta1 receptors at higher doses.

B. BP of 108/60 mm Hg is within normal limits and not indicative of an adverse effect.

C. A mild fever is not commonly associated with albuterol use and may reflect an underlying condition, not the medication.

D. A respiratory rate of 14/min is normal and does not indicate an adverse response.

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Correct Answer is A

Explanation

A. Leg tenderness could indicate the presence of a deep vein thrombosis (DVT) or pulmonary embolism (PE), which are serious complications of oral contraceptive use and should be reported immediately.

B. Abdominal bloating is a common and less serious side effect of oral contraceptives.

C. Nausea is a common side effect of oral contraceptives but is generally not immediately life-threatening.

D. Cramps are a common and expected side effect of oral contraceptives, particularly during the first few months.

A. The client administers a PCA dose prior to dressing changes B. The client is ambulating with the PCA pump. C. The client requests their partner administer PCA doses while they sleep. D. The client administers a PCA dose as soon as their pain returns.

Correct Answer is C

Explanation

A. Administering a PCA dose prior to dressing changes is appropriate for managing pain before potentially painful activities.

B. Ambulating with the PCA pump is acceptable, as long as the client is not disconnected and it does not interfere with the pump's function.

C. Requesting a partner to administer PCA doses is incorrect because only the patient should administer PCA doses to prevent overmedication and to ensure that the client is aware of their pain level.

D. Administering PCA doses as soon as pain returns is appropriate as long as the client follows the prescribed timing for PCA use.

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A nurse is assessing a client who is receiving nebulized albuterol. The nurse should identify which of the following as an adverse effect of albuterol?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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