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 C

Explanation

Choice A reason: Encouraging the patient to rest in bed for most of the day may lead to further deconditioning and muscle weakness. While rest is important, balancing activity and rest is more beneficial for managing fatigue in chronic anemia.

Choice B reason: Administering a high-protein diet including caffeinated beverages to increase energy levels is not recommended. While a high-protein diet can support energy and muscle strength, caffeine may cause jitteriness and disrupt sleep, which can exacerbate fatigue.

Choice C reason: Assisting the patient with ADLs and encouraging frequent rest periods is appropriate for managing fatigue, weakness, and activity intolerance in chronic anemia. This approach helps the patient conserve energy while maintaining some level of activity to prevent deconditioning.

Choice D reason: Providing supplemental oxygen via face mask during vigorous exercises is not appropriate. Patients with chronic anemia should avoid vigorous exercises that could exacerbate fatigue and weakness. The focus should be on moderate, manageable activities with adequate rest.

A. "Young people do not have to worry about heart failure, just older people." B. "Progressive kidney failure contributes to the development and severity of heart failure." C. "The elderly patient used cocaine as a teenager and complains of occasional anxiety." D. "The patient takes 20mg of losartan every day and their potassium level is 3.8 mEq/L."

Correct Answer is B

Explanation

Choice A reason: The statement that young people do not have to worry about heart failure, just older people, is incorrect. While heart failure is more common in older adults, it can occur at any age, particularly in individuals with underlying health conditions or risk factors.

Choice B reason: Progressive kidney failure contributes to the development and severity of heart failure. Kidney function and heart function are closely related. When the kidneys are not working properly, they can contribute to fluid retention, increased blood pressure, and additional strain on the heart, leading to heart failure.

Choice C reason: The elderly patient using cocaine as a teenager and complaining of occasional anxiety is less relevant to the immediate risk factors for developing heart failure. While past cocaine use can have long-term cardiovascular effects, occasional anxiety is not a significant contributing factor to heart failure.

Choice D reason: The patient taking 20mg of losartan every day and having a potassium level of 3.8 mEq/L is relevant to managing their heart condition but does not directly address the development of heart failure. Losartan is a medication used to manage blood pressure and heart failure, and the potassium level is within the normal range.

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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

The nurse is caring for a patient admitted to the hospital with chronic anemia. The patient reports persistent fatigue, weakness, and activity intolerance. Which intervention will the nurse implement for these manifestations?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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