Question

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, s1 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.
sentence.
the client is at risk for developing target 1, target 2 and target 3.
options
bradycardia
oral candidiasis
drowsiness
dry mouth
increased intraocular pressure
muscle twitching
bone loss
liver damage
hyperglycemia
constipation

Explanation:

To determine the client's risks, we analyze the clinical data: the client is a long - term smoker with respiratory symptoms (shortness of breath, cough, wheezing) and comorbidities (hypertension, hyperlipidemia, depression).

• Oral candidiasis: Corticosteroids (used for respiratory conditions like COPD, which this client may have) increase the risk of oral candidiasis.
• Dry mouth: Medications (e.g., antidepressants, antihypertensives) or respiratory conditions can cause dry mouth.
• Constipation: Medications (e.g., opioids, some antidepressants) or reduced mobility due to respiratory distress can lead to constipation.

Other options like bradycardia (client has sinus tachycardia), drowsiness (no indication of sedation), increased intraocular pressure (no related condition), muscle twitching (no electrolyte imbalance indication), bone loss (no long - term steroid use indication yet), liver damage (no related history or symptoms), and hyperglycemia (no diabetes history or related symptoms) are less likely.

Answer:

Target 1: oral candidiasis, Target 2: dry mouth, Target 3: constipation