NCLEX-PN

Category - Reduction of Risk

A client with chronic bronchitis is admitted to the facility. The nurse monitoring the client notes wheezing on assessment of breath sounds and a decrease of oxygen saturation from 90% to 88%. The nurse should expect which order from the physician?
  1. Administer beclomethasone (Beclovent) and albuterol (Proventil) at the same time
  2. Assessment of breath sounds every 4 hours
  3. Administer albuterol (Proventil) first followed by beclomethasone (Beclovent)
  4. Increase the flow rate of oxygen
Explanation
Answer: C - The nurse should administer albuterol, a bronchodilator, first to relax the muscles of the airways, followed by beclomethasone, a glucocorticoid. The flow rate of oxygen is not increased as it can result in respiratory depression.
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