An Elderly Client Is Admitted with Chronic Obstructive Pulmonary Disease

An elderly client is admitted with chronic obstructive pulmonary disease (COPD) exacerbation.  Pulse oximetry is 84% on room air.  The client is restless, has expiratory wheezing and a productive cough, and is using his accessory muscles to breathe.  Which prescription should the nurse question?

A) Albuterol 2.5 mg by nebulizer
B) Intravenous (IV) methylprednisolone 125 mg now and every 6 hours
C) IV morphine 2 mg now and may repeat every 2 hours
D) Oxygen at 2 L/min by nasal cannula

Correct Answer:

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