A nurse is caring for a client who has an infection and has been taking penicillin. Which of the following statements by the client should the nurse identify as the priority to report to the provider?

A. A client receives regular insulin 1 hr after a meal: Administering insulin outside the recommended timing can cause hypoglycemia or other adverse effects. This medication error is a reportable event, requiring completion of an incident report for documentation and quality improvement.

B. A client refuses to get out of bed: Patient refusal of activity or care is part of routine nursing documentation and does not constitute an incident that requires a formal report unless it results in harm.

C. A client was scheduled to be discharged 2 hr ago: A delayed discharge is an operational issue rather than a clinical incident. It should be addressed in workflow review but does not require an incident report.

D. A client receives an antibiotic 30 min after the scheduled time: A slight delay in routine medication administration is typically documented in the medical record but does not usually meet the threshold for an incident report unless it results in harm or adverse effects.

A. "Cromolyn will assist with dilating the bronchioles in your lungs.": Cromolyn is not a bronchodilator and does not relax airway smooth muscles. Its primary action is to stabilize mast cells and prevent the release of inflammatory mediators.

B. "Cromolyn should take effect within 5 minutes.": Cromolyn works as a preventive medication and requires consistent use over time. It does not provide rapid relief of acute bronchospasm or asthma attacks.

C. "Cromolyn should be administered 1 hour after exercising.": For exercise-induced asthma, cromolyn should be administered 10–15 minutes before exercising, not after, to prevent symptoms. Timing is important for prophylactic effectiveness.

D. "Cromolyn is used to prevent your condition from occurring.": Cromolyn is a mast cell stabilizer used as a preventive therapy to reduce inflammation and prevent asthma attacks. It is most effective when taken regularly or before known triggers.