Which assessment finding, by the nurse, is a priority concern ...

[jerry coleman]

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

Question 2

The client tells the nurse that her symptoms have become worse since she has been using oxymetazoline (Afrin) for nasal congestion. What is the best assessment question for the nurse to ask?
 
  1. How old is the bottle you are using?
  2. May I take your temperature?
  3. Are you using any other inhaled medications?
  4. How long have you been using the medication?

[cloudre37]

Answer to Question 1

Correct Answer: 3
Rationale 1: A 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.

Answer to Question 2

Correct Answer: 4
Rationale 1: While it is possible that the client is using outdated medication, this is not the best question.
Rationale 2: Asking to take the client's temperature is not the best question.
Rationale 3: The use of other inhaled medications will not cause or prevent rebound congestion, so this question is unnecessary.
Rationale 4: Oxymetazoline (Afrin) can cause rebound congestion if used for too long, so length of treatment is the best assessment question.

[jerry coleman]

TYSM

[xthemafja]

Gracias!