After receiving a nebulizer treatment with a beta agonist, the patient complains of feeling slightly nervous and wonders if her asthma is getting worse. What is the nurse's best response?

“I will notify the physician about this adverse effect."

"This is an expected adverse effect. Let me take your pulse."

"We will hold the treatment for 24 hours."

"The next scheduled nebulizer treatment will be skipped."

Answer and Explanation

The Correct Answer is B

A. “I will notify the physician about this adverse effect.” Although it is appropriate to report concerning or worsening symptoms, slight nervousness after a beta-agonist nebulizer is a transient and expected effect. Immediate notification isn't necessary unless symptoms escalate.

B. "This is an expected adverse effect. Let me take your pulse." Beta-agonists like albuterol can stimulate the sympathetic nervous system, leading to mild side effects such as nervousness, jitteriness, or increased heart rate. This response reassures the patient while also ensuring safety through pulse monitoring.

C. "We will hold the treatment for 24 hours." Holding treatment may deprive the patient of necessary bronchodilation during an acute phase of asthma. A slight nervous sensation does not warrant stopping treatment unless accompanied by more severe reactions.

D. "The next scheduled nebulizer treatment will be skipped." Skipping a dose without reassessing the patient or provider input may risk worsening asthma control. Minor side effects should be monitored, not cause immediate cancellation of scheduled therapy.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Status epilepticus:This refers to a prolonged or repeated seizure without recovery of consciousness between episodes. It is unrelated to respiratory conditions and does not apply to Lily’s worsening asthma symptoms.

B. Status asthmaticus:Status asthmaticus is a severe, prolonged asthma attack that does not respond to initial bronchodilator therapy. Lily’s persistent wheezing, increased work of breathing, and low oxygen saturation despite treatment indicate this potentially life-threatening condition that requires immediate medical intervention.

C. Postictal status:The postictal state follows a seizure and is characterized by confusion or fatigue. It has no relevance to Lily’s presentation, which involves respiratory, not neurological, distress.

D. Status post asthma:This phrase describes a condition following an asthma episode but does not reflect an ongoing or worsening attack. It is not a recognized clinical term for an acute, unresponsive asthma condition.

A. A 16-year old female high school student B. A 54 year old businessman C. A 54 year old businessman D. A 43-year old homeless man with a history of alcoholism

Correct Answer is D

Explanation

A. A 16-year-old female high school student:While TB can affect people of any age, high school students are generally not considered a high-risk group unless they have known exposure or immunosuppression. Routine exposure in school settings is relatively low.

B. A 54-year-old businessman:This client may be at risk depending on travel history or comorbidities, but business professionals typically have better access to healthcare and housing, reducing their baseline risk compared to other populations.

C. A 54-year-old businessman:Unless other risk factors are specified (e.g., foreign travel, immunocompromise), this demographic does not represent a high-risk group for TB in an outbreak situation.

D. A 43-year-old homeless man with a history of alcoholism:This client falls into a high-risk category for TB due to poor living conditions, potential malnutrition, and compromised immunity related to alcoholism. Homelessness and substance use are well-established risk factors for tuberculosis, especially during outbreaks.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

After receiving a nebulizer treatment with a beta agonist, the patient complains of feeling slightly nervous and wonders if her asthma is getting worse. What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Case Study Asthma - Peds Exhibits Lily's asthma attack is persistent and does not respond to treatment. The nurse would report this condition as?

Correct Answer is B

Explanation

A nurse is working in a walk-in clinic. She has been alerted that there's an outbreak of tuberculosis (TB). Which client entering the clinic today is most likely to have TB?

Correct Answer is D

Explanation

The nurse employed in an emergency department is monitoring a child diagnosed with epiglottitis. The nurse notes that the child is leaning forward with the chin thrust out. How should the nurse interpret this finding?

A patient, age 68, has a long history of COPD and is admitted to the hospital with cor pulmonale. He says his doctor said his heart was failing and asks whether he is having a heart attack. Which explanation by the nurse is most correct?

A child in admitted with severe RSV. The nurse would place the client in which transmission-based precaution?

A child has had cold symptoms for more than 2 weeks, a headache, nasal congestion with purulent nasal drainage, facial tenderness, and a cough that increases during sleep. The nurse recognizes that these symptoms are characteristic of which respiratory condition?

Which oxygen delivery device is best suited for a patient who requires a precise concentration of oxygen?

A nurse assesses a client who is prescribed fluticasone (Flovent) and notes oral lesions. Which action should the nurse take?

Which finding indicates that the patient's condition is improving?

The nurse is aware that the patient seeking antibiotic treatment for pharyngitis will only receive the desired medication if the condition is caused by: