# A client uses an albuterol inhaler for acute wheezing. Which finding is an expected medication effect that the nurse should monitor?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397315&lang=en  
> language: en  
> subject: Central Venous Access Devices  
> category: PPT

## Question

A client uses an albuterol inhaler for acute wheezing. Which finding is an expected medication effect that the nurse should monitor?

## Option

1. Tremor and palpitations. **✔ Correct answer**
2. Severe bradycardia.
3. Black tarry stools.
4. Pinpoint pupils.

**Correct answer: 1**

## Explanation

Albuterol is a short-acting beta2 agonist and can cause tremor, nervousness, and palpitations. Severe bradycardia, gastrointestinal bleeding, and pinpoint pupils are not expected therapeutic class effects. The nurse should monitor response and adverse effects.

## In-depth explanation

Clinical Judgment
Use the client cues, timing, labs, and safety risks to select the response that best fits Albuterol adverse effects.

Memory Tip
Match the strongest cue cluster to the safest nursing judgment.

KR vs US
NCLEX items reward cue-based priority thinking rather than isolated recall.

## Clinical scenario

Clinical Practice Guide
For Albuterol adverse effects, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.

Caution
Do not choose an action from one isolated cue when the full scenario changes priority or safety.

## Key concepts

- **Albuterol** — A short-acting bronchodilator used for bronchospasm.
- **Tremor** — A common beta-agonist side effect involving shaking or jitteriness.
- **Palpitations** — Awareness of a rapid or forceful heartbeat.

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