A nurse is caring for a client who has asthma and is taking Beclomethasone. The nurse should monitor the client for which of the following adverse effects?

Hypertension

Hypoglycemia

Polyuria

Oral candidiasis

Answer and Explanation

The Correct Answer is D

A. Hypertension is not a common adverse effect of Beclomethasone, an inhaled corticosteroid. Systemic effects like hypertension are rare with inhaled forms due to minimal systemic absorption.

B. Hypoglycemia is not associated with Beclomethasone use. Corticosteroids are more likely to cause hyperglycemia, but this is uncommon with inhaled formulations.

C. Polyuria is not an expected side effect of Beclomethasone. It is more commonly associated with conditions like diabetes or diuretics.

D. Oral candidiasis (thrush) is a common adverse effect of inhaled corticosteroids like Beclomethasone. The medication can suppress local immunity in the oral mucosa, leading to fungal overgrowth. Clients should be advised to rinse their mouth after each use to reduce this risk.

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Correct Answer is B

Explanation

A. Starting an IV infusion of lactated Ringer's is important to maintain vascular access and support circulation, but it is not the first priority in addressing the immediate life-threatening effects of a pulmonary embolism, such as hypoxemia.

B. Administering oxygen therapy is the priority intervention to address hypoxemia caused by the embolism. Oxygen improves tissue oxygenation and reduces the risk of further complications while other interventions are being initiated.

C. Morphine IV may be administered to relieve pain and anxiety, but this is not the first intervention. Managing oxygenation takes precedence over pain relief in this situation.

D. Initiating cardiac monitoring is necessary to detect arrhythmias or signs of right heart strain associated with pulmonary embolism, but it does not directly address the immediate threat of hypoxemia.

A. Rhonchi B. Wheezes C. Stridor D. Crackles

Correct Answer is B

Explanation

A. Rhonchi are low-pitched, coarse sounds heard during both inspiration and expiration. They are typically associated with mucus or secretions in the larger airways and do not match the description of high-pitched squeaking sounds.

B. Wheezes are high-pitched, continuous sounds heard primarily during expiration. They result from narrowed airways, which are characteristic of asthma. The description provided matches wheezes, making this the correct documentation.

C. Stridor is a high-pitched sound heard predominantly during inspiration and is associated with upper airway obstruction. It does not match the description of sounds heard during exhalation.

D. Crackles are discontinuous, popping sounds heard during inspiration and are associated with fluid in the alveoli or smaller airways. They do not match the high-pitched squeaking sounds described.

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A nurse is caring for a client who has asthma and is taking Beclomethasone. The nurse should monitor the client for which of the following adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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