A nurse is preparing to administer eye drops to a child.

Which of the following actions should the nurse take?

Choice A Reason:

Blaming the assistive personnel without additional information or evidence may not be appropriate and should be investigated further.

Choice B Reason:

Mentioning that an incident report has been completed and sent to risk management is important for institutional record-keeping and follow-up but does not provide details about the incident itself.

Choice C Reason:

"Client stated, 'I lost my balance and fell when I got out of bed to go to the bathroom'." In the documentation of a client fall, it is important to include the client's own account of the incident, as this can provide valuable information about the circumstances surrounding the fall. Including direct quotes or statements from the client helps to accurately capture their perspective and can be useful for assessing the root causes of the fall and developing appropriate interventions to prevent future falls.

Choice D Reason:

Documenting that the client does not appear to have any injuries is relevant but does not provide information about the circumstances of the fall, which is important for a comprehensive understanding of the event.

Choice A Reason:

The shortness of breath is correct. Albuterol is a bronchodilator medication commonly used to relieve symptoms of shortness of breath and wheezing in individuals with conditions such as asthma or chronic obstructive pulmonary disease (COPD). It helps to relax the muscles in the airways, allowing for easier breathing. It is not used to treat swelling of the lips, nausea, or hyperglycemia.

The other choices are not the answer because albuterol is specifically indicated for the treatment of respiratory symptoms like shortness of breath and wheezing associated with conditions like asthma or COPD. Here's why the other options are not correct:

Choice B Reason:

Swelling of the lips is incorrect. Albuterol is not used to treat lip swelling. Lip swelling may be related to allergies or other medical conditions, and treatment would depend on the underlying cause.

Choice C Reason:

Nausea is incorrect. Albuterol is not used to treat nausea. Nausea can have various causes, and treatment would depend on the underlying reason for the nausea.

Choice D Reason:

Hyperglycemia is incorrect. Albuterol does not treat hyperglycemia (high blood sugar). It is used for respiratory symptoms, not for managing blood sugar levels. Treatment for hyperglycemia typically involves medications such as insulin or oral antidiabetic agents, as well as dietary and lifestyle changes.