A client is prescribed albuterol for bronchospasm in chronic ...

[Sufayan.ah]

A client is prescribed albuterol for bronchospasm in chronic bronchial asthma. Which of the following nursing diagnoses would the nurse expect to see on the care plan as a result of the adverse reaction of albuterol?
 
  A) Anxiety
  B) Risk of Impaired Oral Mucous Membranes
  C) Ineffective Tissue Perfusion
  D) Risk of Injury

Question 2

A client with asthma has been prescribed an antiasthmatic drug. Before administering the drug, the nurse assesses the respiratory rate of the client. The nurse notifies the primary health care provider based on which finding?
 
  A) 10 breaths/min
  B) 14 breaths/min
  C) 18 breaths/min
  D) 22 breaths/min

[dantucker]

Answer to Question 1

Ans: A
Feedback:
The nurse would most likely identify a nursing diagnosis of Anxiety related to the adverse reaction of albuterol. A nursing diagnosis of Risk of Impaired Mucous Membranes may be seen with the use of corticosteroids, which increase the risk of oral candidiasis. There is no increased risk of injury or ineffective tissue perfusion with the use of albuterol therapy.

Answer to Question 2

Ans: A
Feedback:
The nurse should consider 10 breaths/min an abnormal respiratory rate and notify the primary health care provider. Respiratory rates below 12 breaths/min or above 24 breaths/min are considered abnormal. A respiratory rate between 12 breaths/min and 24 breaths/min is considered normal.

[Sufayan.ah]

Excellent

[diana chang]

Gracias!