The nurse is teaching a client about the use of an albuterol rescue inhaler. Which nursing diagnosis is most appropriate to avoid the adverse effects of albuterol?
1. Knowledge, Deficient related to proper use of albuterol inhaler
2. Gas Exchange, Impaired related to inadequate response to albuterol
3. Airway Clearance, Ineffective related to excess mucus formation
4. Activity Intolerance related to ineffective drug therapy
Correct Answer: 1
Rationale 1: Correct inhaler use is essential to allow albuterol to penetrate deep enough into the airway to dilate the bronchioles.
Rationale 2: For most clients, inappropriate use of an inhaler is a bigger problem than is lack of drug effectiveness.
Rationale 3: Mucus formation is not an issue with albuterol use.
Rationale 4: Activity Intolerance is a possible diagnosis if the client does not use the albuterol inhaler correctly, but this is not the priority during teaching.
Global Rationale: In order for the inhaler to have its intended effect, it must be used correctly. A knowledge deficit of how and when to use the inhaler may lead to the other diagnoses.
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