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 C

Explanation

Warfarin is a coumarin anticoagulant that has potential to increase the risk of bleeding. When taken during pregnancy, warfarin causes fetal bleeding. Warfarin is also teratogenic and it causes various birth defects including skeletal abnormalities, hypoplastic nose, intellectual disabilities and deafness hence it's contraindicated. Pregnant women who require anticoagulation are put of heparin in the place of warfarin to prevent these complications.
A. B, D - are not contraindications for warfarin use.

A. “I should take aspirin for minor aches and pains while taking this medication” B. “I should eat more bananas while taking this medication” C. "I should take my flu vaccine within one week of starting this medication." D. "1 can expect a sore throat for the first week after starting this medication."

Correct Answer is C

Explanation

Prednisone is a corticosteroid that can suppress the body's immune system increasing the client's susceptibility to infections such as upper respiratory tract infections. Flu vaccine is, therefore, important to boost immunity
A. Aspirin and Prednisone increases the risk of gastrointestinal irritation and ulceration and use together increases this risk even further.
B. Although hypokalemia is a common electrolyte abnormality observed with hypokalemia, eating more bananas is unlikely to address the issue
D. Getting a sore throat can happen due to lowered immunity but does not always happen

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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 educating a group of clients about the contraindications of warfarin therapy. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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