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A nurse is talking with a client who has a new prescription for an ipratropium inhaler to treat exercise-induced bronchospasm.

 

Which of the following client statements should the nurse report to the provider?

A nurse is teaching a client who has asthma about using a beclomethasone inhaler along with an albuterol inhaler. Which of the following instructions should the nurse include about the beclomethasone inhaler?

A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following manifestations should the nurse report to the provider as an indication of digoxin toxicity?

A nurse is caring for a 45-year-old female client in a clinic setting. The client has returned for a follow-up visit after experiencing insomnia, anxiety, and weight loss despite an increased appetite over the past several weeks. Below are the exhibits that detail the client’s condition and clinical findings.

Select the 4 findings that indicate an improvement in the client's condition.

Exhibit 1: Nurses' Notes

5 weeks ago:

The client reports experiencing persistent insomnia and anxiety. She has been feeling increasingly restless and has lost weight despite having an increased appetite. Her skin is warm and moist. Speech is rapid, and she seems anxious and fidgety during the assessment. She denies any abdominal discomfort or issues with digestion. Lung sounds are clear to auscultation, and her abdomen is soft with normoactive bowel sounds. The client was instructed to undergo lab work and return for follow-up in 4 weeks.

Today:

The client reports some improvement but still experiences occasional anxiety. She states she has been sleeping better for the past week and her appetite remains unchanged. The nurse notes her skin is warm but now dry. Her lung sounds are clear, and her abdomen remains soft and non-tender with normoactive bowel sounds. The client expresses that she still feels anxious at times but believes her symptoms are improving.

Exhibit 2: History and Physical

The client has a history of heart failure but denies experiencing any new cardiac symptoms in the past several weeks. She presents with increased anxiety, difficulty sleeping, and unintentional weight loss. She reports no changes in her diet or physical activity that could explain the weight loss. Her primary health care provider previously prescribed medication for her anxiety, and she is following the treatment plan as instructed. There is no history of thyroid disorders or gastrointestinal conditions, and no recent history of infections.

Exhibit 3: Vital Signs

5 weeks ago:

• Heart rate: 120/min
• Respiratory rate: 18/min
• Blood pressure: 118/85 mm Hg
• Temperature: 37.8°C (100°F)
• Oxygen saturation: 98% on room air
• Weight: 53 kg (117 lb)

Today:

• Heart rate: 95/min
• Respiratory rate: 16/min
• Blood pressure: 115/82 mm Hg
• Temperature: 37.2°C (99°F)
• Oxygen saturation: 98% on room air
• Weight: 55 kg (121 lb)

Exhibit 4: Physical Examination Results

During the physical examination today, the client appears less anxious and more composed compared to her last visit. Her skin is warm but dry, and her speech is noticeably slower and more controlled. The lung fields are clear to auscultation bilaterally, and no respiratory distress is noted. The abdomen is soft and non-tender with normoactive bowel sounds. The client has gained weight since her last visit, and there are no signs of edema or other abnormal physical findings. She expresses optimism about her recovery and reports better sleep.

Question: Select the 4 findings that indicate an improvement in the client's condition.

A nurse is providing teaching to a client who has rheumatoid arthritis and is starting to take hydroxychloroquine. Which of the following client statements indicates an understanding of the teaching?

A nurse is talking with a client who has a new prescription for an ipratropium inhaler to treat exercise-induced bronchospasm.

Which of the following client statements should the nurse report to the provider?

A nurse is caring for a client following a bronchoscopy with moderate sedation. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is caring for a client who has hypertension and nephropathy due to type 2 diabetes mellitus. The nurse should expect to administer which of the following medications to slow the progression of the nephropathy?

A nurse is caring for a client who is experiencing respiratory depression after taking an excessive dose of oxycodone. Which of the following medications should the nurse expect to administer?

A nurse is caring for a client who has a prescription for metoclopramide. Which of the following outcomes should the nurse use to evaluate the effectiveness of this medication?

A nurse is completing an admission assessment for a client who has been taking St. John’s wort. The nurse should identify that which of the following medications can interact with St. John’s wort?