A nurse in an outpatient clinic is preparing to provide

A nurse in an outpatient clinic is preparing to provide education to a client who has asthma. Exhibit 2 Exhibit 3 Nurses’ Notes 3 months ago: Client reports experiencing shortness of breath and coughing for the past month. Reports that they had an upper respiratory infection about a month ago that has improved. However, the shortness of breath and coughing continues and is worse at night and when exercising outside in the cold. Denies productive cough, sinus pain, and chest pain. Denies smoking. No nasal drainage. Inspiratory wheezing auscultated bilaterally. No accessory muscle use. Provider order pulmonary function test. Results reviewed by provider and prescriptions ordered. Today: During the past 4 weeks, the client reports experiencing shortness of breath and coughing while exercising outside. They are using their albuterol inhaler approximately 3 times a week. Inspiratory wheezing auscultated bilaterally. No accessory muscle use. A nurse is preparing to provide education to a client about their medications during their second clinic visit. For each potential teaching intervention, click to specify if the teaching is indicated or not indicated. There must be at least 1 selection in every row. There does not need to be a selection in every column. Intervention Indicated Not Indicated Instruct the client to take montelukast in the morning. Instruct the client to use the budesonide/formoterol inhaler for long-term management of asthma. Wait 1 minute between inhaled medications. Instruct the client to take montelukast when they are experiencing shortness of breath. Instruct the client to use the albuterol inhaler 5 min after exercising. Obtain blood level of medications to ensure that they are therapeutic. Instruct the client to rinse their mouth with water and gargle after using their budesonide/formoterol inhaler. Instruct the client to notify the provider if they experience behavioral changes, such as agitation, depression, or suicidal thinking. Question 2 nurse in an outpatient clinic is caring for a client. Exhibit 1 Exhibit 2 Exhibit 3 Exhibit 4 Nurses’ Notes Today: A client presents to the clinic today with reports of shortness of breath while walking and a cough for the past 3 months. Current smoker, reports smoking 1 pack per day for the past 55 years. History of hypertension, hyperlipidemia, and depression. Alert and oriented to person, place, and time. Dyspneic while walking in clinic. Shallow, rapid breaths. Bilateral expiratory wheezing. Nonproductive, dry cough. No pleural friction rub. No cyanosis, accessory muscle use, or pursed lip breathing. Sinus tachycardia rhythm, $1 S2, no murmurs or extra heart sounds. Radial and pedal pulses +1 bilaterally. Pedal edema of lower extremities +1. Chest x-ray, pulmonary function test, and laboratory tests ordered. Provider reviewed results. Prescriptions ordered Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing Target 1 Target 2 and Target 3 Options dry mouth constipation increased intraocular pressure liver damage bradycardia drowsiness oral candidiasis bone loss hyperglycemia Question 3 A nurse is caring for client in an outpatient clinic. Exhibit 1 Exhibit 2 Nurses’ Notes 1100: The client presents to the clinic with reports of runny nose, sneezing, itchy eyes, congestion, and sinus pressure. Reports having difficulty breathing through nose, coughing while lying down, and fatigue. Manifestations started during the spring while outside gardening. Denies fever and chills. Physical assessment: Bilateral swelling and erythema of the nasal turbinates. Clear drainage post oropharynx. Retracted tympanic membranes bilaterally. Lungs clear to auscultation bilaterally. 1115: Provider prescriptions received. Visit summary reviewed with client to discuss the newly prescribed medication. For each body system below, click to specify the adverse effect that the nurse should include in client instructions about the newly prescribed medication. Each body system may support more than 1 potential adverse effect. (Each category must have at least 1 response option selected) Note: Each category must have at least 1 response option selected. Body System Adverse Effect Neurological Headaches Suicidal thoughts Drowsiness Seizures Respiratory Nose bleeds Respiratory depression Rebound congestion Bronchospasm Gastrointestinal Liver damage Peptic ulcer disease Sore throat Dry mouth

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