NCLEX-PN

Category - Pharmacological Therapies

A client is administered with albuterol and ipratropium during an acute asthma attack. The nurse assigned to monitor the client determines that the client is responding to the medication if which of the following assessment findings is noted?
  1. Increased heart rate
  2. Coughing
  3. Wheezing on auscultation is decreased
  4. Decreased respiratory secretions
Explanation
Answer: C - A client experiencing an acute asthma attack has wheezing, shortness of breath, and coughing. The client is responding to bronchodilators, such as albuterol and ipratropium, if wheezing is decreased after the administration of the drugs. Increased heart rate is a complication of bronchodilator use. Coughing indicates that the medications are not therapeutic. Bronchodilators do not decrease respiratory secretions.
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