Pediatric ATI Practice Exam

Which statement by the guardian indicates understanding of levalbuterol nebulizer use?

1. "I should store the unused medication in the freezer."

2. "I should make sure I use the vial within 3 weeks of opening it from the foil package."

3. "My child might be drowsy while taking this medication."

4. "My child might experience palpitations after taking this medication."

The correct answer is: "My child might experience palpitations after taking this medication."

The accurate understanding of levalbuterol nebulizer use is demonstrated by the statement regarding the potential side effects of the medication. Levalbuterol is a bronchodilator that primarily helps in relieving bronchospasm associated with conditions such as asthma or chronic obstructive pulmonary disease. One of the known side effects of this medication is the possibility of palpitations, which are feelings of having a fast-beating, fluttering, or pounding heart. This occurs due to the stimulation of beta-adrenergic receptors that levalbuterol interacts with and can lead to increased heart rate. Recognizing palpitations as a possible reaction shows that the guardian is informed about the expected effects of the medication and is prepared to monitor for these symptoms in their child. In contrast, storage instructions regarding the medication focus on different issues, such as the need to avoid freezing the product or adhere to shelf-life guidance once opened. Understanding the potential for drowsiness is also inaccurate, as bronchodilators typically do not cause sedation. These nuances underscore the importance of knowledge about the medication's effects, which is crucial for safe and effective management of the child's condition.