Exhibits Review H and P, nurse's notes, flow sheet, and prescriptions. Mark whether the assessment finding represents a therapeutic result of the drug administered, a non-therapeutic side- effect, or an unrelated finding. Each row must have one option selected.

Clear breath sounds: Clear breath sounds indicate that the albuterol nebulizer effectively relaxed bronchial smooth muscles, reducing bronchospasm and improving airway patency. This therapeutic effect enhances oxygen exchange and respiratory function, which is critical for asthma and wheezing management. Sore nose: The sore nose is a non-therapeutic side effect likely due to dryness and irritation from the oxygen delivery via nasal cannula or from inhaled medication. Prolonged oxygen use can dry mucous membranes, causing discomfort and possible mild inflammation in the nasal passages. Tremble: Trembling or tremors are common side effects of beta-2 agonists such as albuterol, caused by stimulation of beta receptors in skeletal muscles. This can result in fine muscle shaking and is a dose-related effect that generally resolves when medication use decreases. Cold, swollen hand: The cold, swollen hand at the IV site suggests an infiltration or extravasation injury, which is unrelated to the medication's intended respiratory effects. This requires prompt nursing intervention to prevent tissue damage and ensure proper IV access. Temperature 101.5° F (38.6° C): Fever is unrelated to albuterol administration and typically indicates an underlying infection or inflammatory process. The client’s ongoing symptoms and fever suggest the respiratory infection is still active and may require further medical evaluation. Heart rate 110 beats/minute: Tachycardia is a known non-therapeutic side effect of albuterol due to its beta-1 adrenergic stimulation on cardiac tissue. This increased heart rate can cause palpitations or discomfort but is usually transient and monitored during treatment. Oxygen saturation 99%: The increase in oxygen saturation to 99% reflects a positive therapeutic response to the combined oxygen therapy and bronchodilator treatment. Improved oxygenation indicates enhanced ventilation and gas exchange, a primary goal in respiratory distress management.