A nurse is caring for a client who is at 34 weeks of gestation. Which of the following statements by the client is the nurse’s priority to report to the provider?

Choice A reason: Budesonide prevents, not rescues, asthma attacks; rescue inhalers like albuterol are used instead. This shows misunderstanding of its controller role in management.

Choice B reason: Rinsing after budesonide, a corticosteroid, prevents oral thrush by removing residue. This reflects correct understanding of side effect prevention in asthma therapy.

Choice C reason: Timing budesonide to meals and bedtime isn’t standard; it’s typically twice daily. This indicates confusion about its preventive, not situational, use.

Choice D reason: Pre-exercise use fits rescue inhalers, not budesonide, which builds long-term control. This misapplies its purpose, showing a lack of asthma management grasp.

Choice A reason: Weight gain, not loss, follows nicotine cessation due to appetite increase. Withdrawal heightens metabolism briefly, but loss isn’t a typical manifestation.

Choice B reason: Diaphoresis occurs during acute withdrawal but isn’t primary. Nicotine’s absence disrupts sleep more consistently, making this a less dominant symptom.

Choice C reason: Insomnia is a hallmark of nicotine withdrawal, from CNS stimulation loss. It disrupts sleep regulation, a common, persistent issue in quitting smokers.

Choice D reason: Diarrhea can occur but is less frequent than insomnia in withdrawal. Nicotine’s absence more reliably affects sleep over GI motility initially.