A nurse in an emergency department is preparing to administer theophylline by continuous intravenous (IV) infusion to a client who is experiencing an asthma attack. Which of the following actions should the nurse take?

Infuse the medication at 35 mg/min.

Infuse the medication with an IV pump.

Administer a test dose first.

Cover the IV container with dark paper.

Answer and Explanation

The Correct Answer is B

Theophylline has a narrow therapeutic window which increase the risk of overdose and toxicity. It is also given at very small doses which could be difficult for the nursing staff to accurately titrate the drops and hence requires an infusion pump
A. Infusion of theophylline loading dose should not exceed 25mg/min due to risk of seizures and cardiac arrhythmias
C. Use of a test dose is not necessary as the risk of hypersensitivity with theophylline is very low.
D. Covering the IV container with dark paper is not necessary for the administration of theophylline.

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Correct Answer is B

Explanation

Olanzapine is used in the management of schizophrenia whose symptom include hallucinations, delusions and disorganized behavior. The expected features is a reduction or elimination of these symptoms.

A. Olanzapine may cause orthostatic hypotension, which can result in a decrease in blood pressure upon standing, but it is not typically expected to cause a decrease in resting blood pressure.

C. Olanzapine has no anticonvulsant effect.

D. Olanzapine causes fatigue and sedation as some of the side effects

A. Hyperuricemia B. Hypercalcemia C. Hyperchloremia D. Hypernatremia

Correct Answer is A

Explanation

Furosemide decreases excretion of uric acid in the renal tubules. This leads to high levels of uric acid accumulating in the blood leading to hyperuricemia.

B-Furosemide causes hypocalcemia

C-No effect of on chloride or sodium levels in blood

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A nurse in an emergency department is preparing to administer theophylline by continuous intravenous (IV) infusion to a client who is experiencing an asthma attack. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for olanzapine. The nurse should monitor the client for which of the following manifestations as an expected response to this medication?

Correct Answer is B

Explanation

A nurse is caring for a client who has heart failure and is receiving IV furosemide. The nurse should monitor the client for which of the following electrolyte imbalances?

Correct Answer is A

Explanation

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