The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?

A. A room that is within view of the nurses' station: While visibility to the nurses' station is advantageous for monitoring the client, it is not the most critical consideration for a client with active tuberculosis. The priority is to prevent the spread of infectious droplets to other clients and healthcare workers.

B. A room in the ICU: Placing a client with active tuberculosis in the ICU may not be necessary unless there are specific medical reasons requiring intensive care. However, the room assignment should prioritize infection control measures.

C. A room with another nonsurgical client: It is not advisable to place a client with active tuberculosis in a room with another nonsurgical client due to the risk of spreading the infection to a potentially vulnerable individual.

D. A room with air exhaust directly to the outdoor environment: This is the correct answer. The preferred room assignment for a client with active tuberculosis is one with proper ventilation that allows air to be exhausted directly to the outdoor environment. Negative pressure rooms with high-efficiency particulate air (HEPA) filtration are often used to minimize the risk of airborne transmission.

A. Montelukast: Montelukast is a leukotriene receptor antagonist and is commonly used in the management of asthma. It helps to prevent bronchoconstriction and is appropriate for a client with asthma.

B. Propranolol: This is the correct answer. Propranolol is a non-selective beta-blocker. Beta-blockers can potentially worsen bronchoconstriction and are contraindicated in clients with asthma. Therefore, clarification is needed regarding the prescription of propranolol for a client with asthma.

C. Theophylline: Theophylline is a bronchodilator that may be used in the treatment of asthma. It helps to relax the smooth muscles of the airways, allowing for easier breathing.

D. Prednisone: Prednisone is a corticosteroid and is commonly used to reduce inflammation in the airways during an asthma exacerbation. It helps to control symptoms and improve lung function.