A client diagnosed with trigeminal neuralgia experiencing intermittent, sudden, severe pain on the left side of the facE. The nurse identifies which classification of medications is most effective in treating this pain?

Choice A reason: Mitral valve disease is not a disorder that makes clients especially vulnerable to ozone effects because it is a condition that affects the heart valve that regulates blood flow between the left atrium and left ventricle, not the lungs or airways.

Choice B reason: Asthma is a disorder that makes clients especially vulnerable to ozone effects because it is a condition that causes inflammation, narrowing, and mucus production in the airways, which can worsen when exposed to ozone, a gas that irritates and damages lung tissuE.

Choice C reason: Nasal polyps are not a disorder that makes clients especially vulnerable to ozone effects because they are benign growths that occur in the lining of the nose or sinuses, not the lungs or airways.

Choice D reason: Seasonal allergies are not a disorder that makes clients especially vulnerable to ozone effects because they are immune system reactions to certain substances such as pollen or mold, not ozone, which is a chemical pollutant.

c) Bilateral lung sounds.

Explanation:

When admitting a client with complications of left-sided heart failure, the practical nurse (PN) should prioritize assessing the client's bilateral lung sounds. Left-sided heart failure can result in the accumulation of fluid in the lungs, leading to pulmonary congestion and impaired gas exchange. By auscultating the client's lung sounds, the PN can assess for the presence of crackles, wheezes, or diminished breath sounds, which are indicative of pulmonary congestion and fluid accumulation. This assessment helps to identify the severity of the client's condition and guides further interventions and treatment.

While assessing heart sounds (option a) is important in evaluating cardiac function, assessing lung sounds takes priority as pulmonary congestion is a common manifestation of left-sided heart failure. Chest pain (option b) is a significant symptom that should be assessed promptly, but in this scenario, the focus is on assessing for signs of pulmonary congestion and impaired gas exchange. Assessing the client's mood and affect (option d) is important for a comprehensive assessment, but it is not the priority when the client is admited with complications of left-sided heart failure.

The other options are considered incorrect because they are not the priority assessments when admitting a client with complications of left-sided heart failure.

Option a) Heart sounds: While assessing heart sounds is important in evaluating cardiac function, the priority in this scenario is to assess for pulmonary congestion and impaired gas exchange. Assessing bilateral lung sounds allows the practical nurse to gather immediate information about the client's respiratory status and the presence of fluid in the lungs.

Option b) Chest pain: Chest pain is a significant symptom that should be assessed promptly, as it could indicate various cardiac or respiratory conditions. However, in this specific scenario, the priority is to assess for signs of pulmonary congestion, which can have a more immediate impact on the client's respiratory function.

Option d) Mood and affect: Assessing the client's mood and affect is important for a comprehensive assessment of their emotional well-being. However, when admitting a client with complications of left- sided heart failure, the priority is to assess their physical condition, particularly the respiratory status, to address any immediate concerns related to pulmonary congestion and impaired gas exchange.