# A client uses an albuterol inhaler for wheezing and asks what side effect may occur. Which response is best?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394106&lang=en  
> language: en  
> subject: Medication Administration  
> category: PPT

## Question

A client uses an albuterol inhaler for wheezing and asks what side effect may occur. Which response is best?

## Option

1. You may feel shaky or notice a faster heart rate. **✔ Correct answer**
2. You should expect your urine to turn dark brown.
3. You will likely become severely constipated.
4. You should stop the medication if you cough once.

**Correct answer: 1**

## Explanation

Albuterol is a short-acting beta agonist and can cause tremor, nervousness, and tachycardia. Dark urine and severe constipation are not typical expected effects. A single cough does not automatically require stopping the medication, though worsening symptoms should be reported.

## In-depth explanation

Clinical Judgment
Teaching links the medication's action with predictable side effects.

Memory Tip
Beta agonist: bronchodilate, tremor, tachycardia.

## Clinical scenario

Clinical Practice Guide
Rescue inhaler teaching includes correct technique, timing, side effects, and when worsening symptoms require urgent care.

Caution
Frequent rescue inhaler need can signal poor control or exacerbation.

## Key concepts

- **Albuterol** — A short-acting bronchodilator used for acute bronchospasm.
- **Tachycardia** — A faster-than-expected heart rate.
- **Tremor** — Involuntary shaking that can occur with beta agonists.

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