A nurse is assessing a client who has started taking theophylline. Which of the following client findings should indicate to the nurse that the medication is effective?

Decreased urine output

Increased blood pressure

Increased level of consciousness

Decreased wheezing

Answer and Explanation

The Correct Answer is D

A. Decreased urine output. This finding is not an indicator of theophylline effectiveness. Theophylline is used to treat respiratory conditions, and its effectiveness is measured by improvements in respiratory symptoms.
B. Increased blood pressure. This finding is not an indicator of theophylline effectiveness. Theophylline is used to treat respiratory conditions, and its effectiveness is measured by improvements in respiratory symptoms.
C. Increased level of consciousness. This finding is not an indicator of theophylline effectiveness. Theophylline is used to treat respiratory conditions, and its effectiveness is measured by improvements in respiratory symptoms.
D. Decreased wheezing. This finding is an indicator of theophylline effectiveness. Theophylline is a bronchodilator used to treat asthma and other respiratory conditions. A decrease in wheezing indicates that the medication is effectively improving the client’s airway function.

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Correct Answer is D

Explanation

A. Slow the infusion rate is not an appropriate action when infiltration is noted. The infusion should be stopped immediately to prevent further leakage of fluid into the surrounding tissues.
B. Flush the IV catheter is not recommended in the case of infiltration, as it can cause more fluid to enter the surrounding tissues and worsen the infiltration.
C. Apply pressure to the IV site is not appropriate for managing infiltration. Applying pressure can cause further damage to the tissues and increase discomfort.
D. Elevate the extremity is the correct action to take. Elevating the affected limb can help reduce swelling and promote the reabsorption of the infiltrated fluid. Additionally, the IV catheter should be removed, and a new IV site should be selected.

A. Valerian B. Probiotics C. Ginkgo biloba D. Coenzyme Q10

Correct Answer is C

Explanation

A. Valerian is an herbal supplement commonly used for its sedative effects. It does not have a significant interaction with warfarin and is not contraindicated for concurrent use.
B. Probiotics are generally safe to use with warfarin and do not have a significant impact on its anticoagulant effects. They are not contraindicated for concurrent use.
C. Ginkgo biloba is known to increase the risk of bleeding when taken with warfarin. It has antiplatelet effects that can enhance the anticoagulant effects of warfarin, leading to an increased risk of bleeding complications. Therefore, it is contraindicated for concurrent use with warfarin.
D. Coenzyme Q10 is structurally similar to vitamin K and can potentially reduce the effectiveness of warfarin. However, it is not as strongly contraindicated as ginkgo biloba, which has a more pronounced effect on bleeding risk.

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A nurse is assessing a client who has started taking theophylline. Which of the following client findings should indicate to the nurse that the medication is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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