After administering the prescribed albuterol nebulizer treatment, what should the nurse assess?
Heart rate
Breath sounds
Serum sodium levels
Complete blood count
Oxygen saturation
Peak inspiratory flow
Temperature
Peak expiratory flow
Correct Answer : B,E,H
H.
Choice A rationale
While albuterol can cause an increase in heart rate due to its beta-agonist effects, it is not the primary assessment following administration. The main goal of albuterol treatment is to improve respiratory function.
Choice B rationale
Breath sounds are a primary assessment following albuterol administration. Albuterol is a bronchodilator and should improve breath sounds by reducing bronchospasm and increasing airflow.
Choice C rationale
Serum sodium levels are not directly affected by albuterol and therefore are not a primary assessment following its administration.
Choice D rationale
A complete blood count is not directly affected by albuterol and therefore is not a primary assessment following its administration.
Choice E rationale
Oxygen saturation is a primary assessment following albuterol administration. Albuterol should improve oxygen saturation by increasing airflow and oxygen delivery.
Choice F rationale
Peak inspiratory flow is not typically assessed after albuterol administration. Albuterol primarily affects expiratory flow by reducing bronchospasm.
Choice G rationale
Temperature is not directly affected by albuterol and therefore is not a primary assessment following its administration.
Choice H rationale
Peak expiratory flow is a primary assessment following albuterol administration. Albuterol is a bronchodilator and should improve peak expiratory flow by reducing bronchospasm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While advising family members to monitor for symptoms of illness is important, it’s not the most crucial action for the nurse to take immediately after testing the patient for COVID-194.
Choice B rationale
Implementing droplet precautions, placing the patient in a private room, and keeping the door closed is the most crucial action. This helps prevent the potential spread of COVID-19 to other patients and healthcare workers.
Choice C rationale
Informing the patient to notify others about potential exposure is important, but it’s not the most crucial action immediately after testing.
Choice D rationale
Initiating an IV infusion for the administration of an antiviral drug is not the most crucial action. Antiviral medication is typically administered after a positive test result, not before.
Correct Answer is ["3742"]
Explanation
Step 1 is: Convert the child’s weight from pounds to kilograms. 1 pound is approximately 0.453592 kilograms, so 55 lb × 0.453592 kg/lb = 24.9476 kg.
Step 2 is: Calculate the total daily dosage. 150 mg/kg/day × 24.9476 kg = 3742.14 mg/day. Therefore, the nurse should administer approximately 3742 mg each day when rounded to the nearest whole number.
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