A nurse is caring for a client who has a new prescription for atenolol. For which of the following adverse effects should the nurse monitor the client?

a. An endometrial biopsy: An endometrial biopsy is not the preferred method for detecting cervical cancer. It is more commonly used to evaluate the endometrium.

b. CA 125: CA 125 is a tumor marker used more for ovarian cancer detection and monitoring, not cervical cancer.

c. Papanicolaou test: The Papanicolaou test, also known as a Pap smear, is the preferred method for detecting cervical cancer and precancerous changes.

d. Transvaginal ultrasound: While ultrasound may be used to evaluate gynecological conditions,

it is not the primary method for detecting cervical cancer; the Pap smear is the standard screening test.

a. Ineffective airway clearance: This is the priority as it addresses the immediate threat to the client's respiratory status. Accumulation of thick, copious secretions can lead to airway

obstruction and respiratory distress.

b. Malnourishment: While important, addressing malnourishment is not an immediate

postoperative priority. The client may receive nutrition through alternative means until normal swallowing function is restored.

c. High risk for infection: Infection is a concern, but ensuring airway clearance takes precedence in the immediate postoperative period.

d. Impaired verbal communication: Verbal communication is important, but it is not as immediate a concern as ensuring the airway is clear to prevent respiratory compromise.