Which assessment finding, by the nurse, is a priority concern when a client receives pseudoephedrine (Sudafed)?
1. Temperature of 100°F
2. Respiratory rate of 22
3. Heart rate 82 and irregular
4. Complaints of a dry mouth
3
Rationale 1: A high temperature is possible with pseudoephedrine but is not the primary concern.
Rationale 2: A respiratory rate of 22 is possible with pseudoephedrine but is not the primary concern.
Rationale 3: Pseudoephedrine may cause dysrhythmias.
Rationale 4: A dry mouth is possible with pseudoephedrine but is not the primary concern.
Global Rationale: Pseudoephedrine may cause dysrhythmias. A high temperature, respiratory rate of 22, or a dry mouth is possible with pseudoephedrine but is not the primary concern.
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