A patient with asthma uses albuterol [Ventolin] for wheezing. The nurse assesses the patient and notes vital signs of HR, 96 beats per minute; RR, 18 breaths per minute; and BP, 116/78 mm Hg. The patient has clear breath sounds and hand tremors
What will the nurse do? a. Ask the patient how often the inhaler is used.
b. Check the patient's blood glucose level.
c. Request an order for isoproterenol [Isu-prel] to reduce side effects.
d. Stop the medication and report the tre-mors to the provider.
A
Tachycardia is a response to activation of beta1 receptors. It can occur when large doses of albu-terol are used and selectivity decreases. The nurse should question the patient about the number of inhalations used. Isoproterenol can cause hyperglycemia in diabetic patients. Isoproterenol has more side effects than albuterol. Tremors are an expected side effect and are not an indication for stopping the drug.
You might also like to view...
Which of the following could result in the nurse being found negligent?
1. The nurse, while driving to work, passes the scene of an accident with obvious injury but does not stop. 2. The nurse administers the wrong medication to a client, who suffers no ill effect. 3. The nurse initiates a care plan to prevent skin breakdown and documents thoroughly, but the client develops a pressure ulcer anyway. 4. The client with a history of dementia and wandering crawls over the side rail and falls, and breaks her hip.
After monotherapy for seizures has not proven effective, the next treatment step is
A) multiple drug regimens. B) surgery. C) behavior modification. D) All of the above are correct.
The nurse has just interviewed with a nurse manager. The manager offers the nurse an opportunity to tour the unit and meet potential coworkers
Why is this a beneficial opportunity? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. It allows the candidate to learn more about the unit. 2. It allows the candidate to make a final determination about whether the unit is a good work environment. 3. It allows the candidate to make some assessment of coworkers. 4. It allows the candidate to determine nurse-to-client ratios. 5. It allows the candidate a first look at the types of clients served by the unit.
The patient with AIDS asks the nurse why his cytotoxic T cells are so important. What is the nurse's best response to explain the actions of cytotoxic T cells?
A) Cells that are programmed to identify specific proteins or antigens B) Cells that can either destroy a foreign cell or mark it for aggressive destruction C) Cells that respond to chemical indicators of immune activity and stimulate other lymphocytes to be more aggressive and responsive D) Cells that respond to rising levels of chemicals associated with an immune response to suppress or slow the reaction