The nurse is teaching the patient about the medication albuterol for the treatment of chronic obstructive pulmonary disease (COPD). Which medication adverse effect will the nurse teach the patient to monitor for and report?

Fever

Bruising

Polyuria

Palpitations

Answer and Explanation

The Correct Answer is D

Choice A reason: Fever is not a common side effect of albuterol. It may indicate an infection or another underlying condition that should be evaluated separately.

Choice B reason: Bruising is not associated with albuterol use. Bruising may be related to other medications or underlying conditions affecting coagulation.

Choice C reason: Polyuria, or increased urination, is not a typical side effect of albuterol. It is more commonly associated with conditions such as diabetes or diuretic use.

Choice D reason: Palpitations are a known side effect of albuterol due to its stimulating effect on the heart. Patients should be informed about this potential side effect and advised to report any persistent or severe palpitations to their healthcare provider.

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Correct Answer is B

Explanation

Choice A reason: Normal blood pressure and deep respirations do not necessarily indicate that hyperosmolar hyperglycemic syndrome is resolving. Deep respirations, also known as Kussmaul respirations, can occur in response to severe hyperglycemia.

Choice B reason: Increased alertness and a normal heart rhythm suggest that the patient's neurological status and cardiovascular system are stabilizing, which are positive indicators that the treatment is effective in managing hyperosmolar hyperglycemic syndrome.

Choice C reason: High urine specific gravity and normal temperature do not directly indicate the effectiveness of treatment for hyperosmolar hyperglycemic syndrome. High urine specific gravity can result from dehydration.

Choice D reason: A blood glucose level of 250 mg/dL with disorientation still indicates poorly controlled hyperglycemia and ongoing metabolic disturbance, which means the treatment is not yet effective.

A. The patient who is having white milky liquid stools immediately after a barium enema. B. The patient with irritable bowel syndrome (IBS) who has not had a bowel movement for three days. C. The patient diagnosed with ulcerative colitis with a temperature of 101°F and abdominal distention. D. The patient receiving Total Parenteral Nutrition (TPN) whose blood glucose level is 225 mg/dL.

Correct Answer is C

Explanation

Choice A reason: White milky liquid stools immediately after a barium enema are not uncommon and are typically due to the passage of barium. This finding does not usually require immediate reporting unless there are other concerning symptoms.

Choice B reason: Not having a bowel movement for three days in a patient with irritable bowel syndrome (IBS) can be uncomfortable but is not typically an emergency. Management can be addressed through dietary and medication adjustments rather than immediate reporting.

Choice C reason: A temperature of 101°F and abdominal distention in a patient diagnosed with ulcerative colitis is concerning and should be reported immediately. These symptoms can indicate a serious complication such as toxic megacolon, perforation, or severe infection, which require prompt medical intervention.

Choice D reason: A blood glucose level of 225 mg/dL in a patient receiving Total Parenteral Nutrition (TPN) is elevated but not necessarily an emergency. Elevated blood glucose levels are a common side effect of TPN and can be managed through adjustments in insulin or TPN composition.

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The nurse is teaching the patient about the medication albuterol for the treatment of chronic obstructive pulmonary disease (COPD). Which medication adverse effect will the nurse teach the patient to monitor for and report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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