medium · NCLEX-RN pharmacology

A client receiving nivolumab (a checkpoint inhibitor) presents with new-onset RR 28/min, SpO2 91% on room air, and a dry, hacking cough.

Which diagnostic finding is most critical to communicate to the prescriber?

  1. A sputum culture negative for bacterial growth after 24 hours.
  2. Evidence of sinus tachycardia at 105/min on the cardiac monitor, for this client.
  3. A slight elevation in the white blood cell count to 11,500/mm3, for this client.
  4. New diffuse ground-glass opacities on chest X-ray suggesting pneumonitis.

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