A client with emphysema is reporting difficulty in breathing and exhibiting audible wheezing. The nurse administers albuterol as prescribed for the third time within the last 12 hours. Which assessment finding warrants immediate intervention by the nurse?

Uncontrollable shaking.

Increased anxiety.

Throat irritation.

Irregular rapid heart rate.

Answer and Explanation

The Correct Answer is D

A. Uncontrollable shaking can be a side effect of albuterol, but it is not as critical as other potential cardiovascular concerns.
B. Increased anxiety is common with respiratory distress but is not immediately life-threatening.
C. Throat irritation may occur but is generally not a severe concern compared to cardiovascular effects.
D. An irregular rapid heart rate is a significant sign of potential adverse effects from albuterol, indicating possible toxicity or worsening of the client’s condition, which requires immediate intervention.

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Free Nursing Study Resources

Correct Answer is ["0.5"]

Explanation

Volume (mL) = Desired dose (mg) / Concentration (mg/mL)

First, we need to calculate the concentration of the reconstituted solution:

Concentration (mg/mL) = Total amount of drug (mg) / Total volume (mL)

Total amount of drug = 0.3 mg
Total volume = 1.2 mL

Concentration (mg/mL) = 0.3 mg / 1.2 mL = 0.25 mg/mL

Now, we can calculate the volume to administer:

Volume (mL) = 0.125 mg / 0.25 mg/mL = 0.5 mL

A. Employed as a construction worker. B. Reported history of alcoholism. C. Toenails appear thick and yellow. D. White blood cell count of 8,500/mm3 (8.5 x 10°/L).

Correct Answer is B

Explanation

A. While working as a construction worker may involve exposure to various pathogens, it is not as critical as the client's history of substance use.
B. A reported history of alcoholism is significant because terbinafine is metabolized by the liver, and a history of alcohol use could affect liver function, increasing the risk of liver toxicity. This finding requires further assessment before administration.
C. Thick and yellow toenails indicate a fungal infection, which is the reason for the terbinafine prescription but does not impact the immediate safety of administering the medication.
D. A white blood cell count of 8,500/mm³ is within the normal range and does not indicate an immediate concern related to medication administration.

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A client with emphysema is reporting difficulty in breathing and exhibiting audible wheezing. The nurse administers albuterol as prescribed for the third time within the last 12 hours. Which assessment finding warrants immediate intervention by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["0.5"]

Explanation

Before administering a newly prescribed dose of terbinafine HCL to a client with a fungal toenail infection, which assessment finding is most important for the nurse to address?

Correct Answer is B

Explanation

A client has been administered lactulose for several days. Which therapeutic response should the nurse expect for a client with hepatic encephalopathy?

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