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. Enoxaparin should be administered subcutaneously in the abdomen at least 2 inches from the umbilicus.

B. Aspiration is not recommended for subcutaneous injections, especially anticoagulants.

C. Massaging the site is contraindicated because it can increase the risk of bruising and tissue damage.

D. The skin fold should be maintained during injection to ensure proper subcutaneous delivery.

A. Rectus femoris B. Vastus lateralis C. Deltoid D. Dorsogluteal

Correct Answer is B

Explanation

A. Rectus femoris is not commonly used for IM injections in infants due to its proximity to large blood vessels and nerves.

B. The vastus lateralis is the preferred site for IM injections in infants as it is well-developed and away from major blood vessels and nerves.

C. The deltoid is not used for IM injections in infants due to its underdevelopment and small size.

D. The dorsogluteal site is avoided in infants due to the risk of injury to the sciatic nerve.

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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

A nurse is evaluating a return demonstration of enoxaparin administration by a client. Which of the following client actions indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is preparing to administer an IM injection to an infant. Which of the following injection sites should the nurse select for administering the medication?

Correct Answer is B

Explanation

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