Question

a client with asthma has been prescribed an albuterol inhaler. what recommendation should the nurse include in client teaching?

\stop smoking to reduce bronchoconstriction.\
\take ibuprofen to decrease inflammation associated with the condition.\
\immediately stop using the inhaler if you experience hand shaking.\
\limit exercise to one session per week.\

Explanation:

Analyze the clinical scenario

The client has asthma and is prescribed an albuterol inhaler. Albuterol is a short-acting beta-2 adrenergic agonist (SABA) used as a rescue medication to relieve acute bronchospasm. We need to evaluate which teaching recommendation is correct.

Evaluate the smoking cessation option

Smoking is a major trigger for asthma exacerbations. Nicotine and smoke inhalation cause direct airway irritation and bronchoconstriction. Recommending smoking cessation is a fundamental component of Asthma Management to reduce airway hyperresponsiveness and bronchoconstriction.

Evaluate the ibuprofen option

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID). In some clients with asthma, NSAIDs can precipitate severe bronchospasm (aspirin-induced asthma). Therefore, recommending ibuprofen is inappropriate and potentially dangerous.

Evaluate the hand shaking option

Albuterol stimulates beta-2 receptors but can also cause mild beta-1 stimulation and skeletal muscle beta-2 activation, leading to transient tremors (hand shaking) and tachycardia. This is a common, expected side effect of Bronchodilators and does not require immediate discontinuation unless severe.

Evaluate the exercise restriction option

Clients with asthma are encouraged to maintain physical activity. Exercise-induced bronchospasm can be managed by using their albuterol inhaler prophylactically before exercise, rather than limiting physical activity to once per week.

Answer:

• (A) "Stop smoking to reduce bronchoconstriction." (Correct answer)
• (B) "Take ibuprofen to decrease inflammation associated with the condition."
• (C) "Immediately stop using the inhaler if you experience hand shaking."
• (D) "Limit exercise to one session per week."