A patient with type 1 diabetes was prescribed a glucocorticoid for COPD. Which will the nurse expect in this patient?

Choice A reason: This is not an adverse effect of ACE inhibitors. Insomnia is a common side effect of stimulant medications, such as caffeine or amphetamine, which increase the activity of the central nervous system and cause difficulty falling or staying asleep.

Choice B reason: This is not an adverse effect of ACE inhibitors. Bradycardia is a slow heart rate, usually below 60 beats per minute. ACE inhibitors do not cause bradycardia, but rather lower the blood pressure by blocking the formation of angiotensin II, a potent vasoconstrictor.

Choice C reason: This is not an adverse effect of ACE inhibitors. Chest pain is a sign of angina or myocardial infarction, which are caused by reduced blood flow to the heart muscle. ACE inhibitors can actually prevent or treat these conditions by improving the blood flow and reducing the workload of the heart.

Choice D reason: This is an adverse effect of ACE inhibitors. Hyperkalemia is a high level of potassium in the blood, which can cause cardiac arrhythmias and muscle weakness. ACE inhibitors can cause hyperkalemia by reducing the secretion of aldosterone, a hormone that regulates the sodium and potassium balance in the body.

Choice A reason: Albuterol is not used to treat acute allergies. It is a bronchodilator that relaxes the smooth muscles of the airways and improves airflow. Antihistamines are the drugs of choice for acute allergies.

Choice B reason: Albuterol is not used to treat nasal congestion. It is a bronchodilator that acts on the lungs, not the nose. Decongestants are the drugs of choice for nasal congestion.

Choice C reason: Albuterol is not used to treat dyspnea on exertion. It is a bronchodilator that is used for acute or chronic respiratory conditions, such as asthma or chronic obstructive pulmonary disease (COPD). Dyspnea on exertion is a symptom of various cardiac or pulmonary disorders that require further evaluation and treatment.

Choice D reason: Albuterol is used to treat acute bronchospasm. It is a bronchodilator that quickly relieves the symptoms of bronchoconstriction, such as wheezing, coughing, and shortness of breath. It is often prescribed as a rescue inhaler for patients with asthma or COPD.