NursGuru
    HESI Pharmacology
    Review the H&P, nurse's notes, flow sheet, and prescriptions below. For each assessment finding, mark whether it represents (A) a therapeutic result of the drug administered, (B) a non-therapeutic side effect, or (C) an unrelated finding. Orders: 1230 — Admit to medical floor; vital signs every 4 hours; oxygen 1 L/min nasal cannula, titrate to keep SpO2 greater than 93%; NPO; place a peripheral IV and start lactated Ringers at 95 mL/hr; albuterol 3 mg in solution for nebulization every 4 hours PRN for wheezing. Vital Signs: 1230 — Temp 98.7°F, HR 77, RR 20, BP 105/77, SpO2 95% on 1 L/min nasal cannula. 1415 — SpO2 88% on 1 L/min nasal cannula. 1500 — Temp 101.5°F, HR 110, RR 18, BP 119/80, SpO2 99% on 1 L/min nasal cannula. Nurses' Notes: 1230 — Admitted; breath sounds coarse in right lower lobe, fine crackles in all other lobes; productive cough with thick green mucus; PIV placed in right hand, fluids started. 1415 — "It is harder to breathe"; SpO2 88%; wheezes heard in all lobes; albuterol nebulizer started. 1500 — Nebulizer complete; right hand cold and swollen; fluids stopped, PIV discontinued; new PIV placed in left hand, fluids restarted; slight tremble noted; breath sounds clear in all lung fields; reports sore nose. History and Physical: 33-year-old female with a 3-day history of cough, increased mucus production, decreased appetite, and low-grade fever. History of asthma treated with an inhaled glucocorticoid and a short-acting bronchodilator for emergencies.

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