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 A

Explanation

flank pain is a typical symptom of urolithiasis (renal or ureteric). The presence of a stone in the urinary tract stretches the tract leading to pain. Calcium supplementation increases the risk of calcium stone formation in the urinary tract.

B. calcium supplements do not cause hepatitis

C. Calcium supplementation do not cause peptic ulcers

D. Calcium stones have been implicated in pancreatic but this presents with epigastric pain

A. “I’ll be glad when I can stop taking this medicine” B. “I will notify my doctor before taking any other medications” C. "I have made an appointment to see my dentist next week." D. "1 know that I cannot switch brands of this medication."

Correct Answer is A

Explanation

Phenytoin is a lifelong medication for clients presenting with unprovoked seizures. The statement shows that the client has not understood their current management plan or is in denial and requires further counselling to promote adherence.

B.Notifying the doctor before taking any other medication is important as certain drug interactions can lead to toxicity of inadequate blood levels of phenytoin.

C.This is correct as it shows understanding that phenytoin can cause oral adverse effects such as gingival hyperplasia

D.Shows understanding that some drug preparations could have incipient that may cause adverse effects that the originally tolerated agent

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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 talking to a client who is taking a calcium supplement for osteoporosis. The client tells the nurse she is experiencing flank pain. Which of the following adverse effects should the nurse suspect?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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