A nurse is assisting in the care of a client on a labor and delivery unit.

Exhibits

Which of the following findings require further evaluation by the nurse?

Select all that apply.

A. "I should use my inhaler before exercising." Budesonide is an inhaled corticosteroid used for long-term asthma control, not for immediate prevention of exercise-induced bronchospasm. A short-acting beta-agonist (e.g., albuterol) should be used before exercise to prevent bronchospasm.
B. "I should use my inhaler when I have an asthma attack." Budesonide is not a rescue inhaler. It is used daily to reduce airway inflammation and prevent asthma exacerbations. During an acute asthma attack, a fast-acting bronchodilator, such as albuterol, should be used instead.
C. "I will rinse my mouth and gargle with water after each inhaler treatment." Rinsing the mouth after using an inhaled corticosteroid helps prevent oral candidiasis (thrush), a common side effect of steroid inhalers. This practice also reduces irritation and hoarseness associated with corticosteroid use.
D. "I will take my inhaler treatment before each meal and at bedtime." Budesonide is not taken on a strict schedule tied to meals or bedtime. It is usually administered once or twice daily, as prescribed, to maintain consistent anti-inflammatory effects.

A. "My child still wets the bed at least two times per week." Bedwetting (nocturnal enuresis) is common in young children, and while it can be concerning, it is not uncommon for a 4-year-old. Many children still experience bedwetting at this age, and it usually resolves over time.
B. "My child continually asks me the same questions." Continually asking the same questions can be typical for a 4-year-old, as children often seek clarification and reassurance through repetitive questioning. While it may be frustrating, it is generally not a sign of a serious issue.
C. "I have noticed that my child is withdrawn since we switched day care providers." Withdrawal can be a sign of emotional distress, anxiety, or adjustment issues related to the change in daycare. The nurse should further assess the child's emotional and behavioral responses to ensure they are receiving the appropriate support and intervention if needed.
D. "I have a difficult time getting my child to eat green vegetables." Getting the child to eat green vegetables is a common challenge among young children, as they often exhibit food preferences and may be picky eaters. While it is important to encourage healthy eating habits, this issue does not require immediate intervention compared to concerns about emotional withdrawal.