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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Blurred vision is a known adverse effect of carbamazepine. Clients should be instructed to monitor for changes in vision and report any issues to their healthcare provider.
B. Tachypnea is not a common adverse effect of carbamazepine. It is more likely to be associated with respiratory conditions or other medications.
C. Insomnia is not typically associated with carbamazepine. In fact, carbamazepine can cause drowsiness and sedation.
D. Metallic taste is not a common adverse effect of carbamazepine. It is more commonly associated with other medications, such as metronidazole.
Correct Answer is D
Explanation
A. “You should take this medication once each day at bedtime.” This statement is incorrect because rifampin is typically taken on an empty stomach, either 1 hour before or 2 hours after a meal, to ensure optimal absorption. Taking it at bedtime is not a standard recommendation.
B. “You can continue to wear soft contact lenses while taking this medication.” This statement is incorrect because rifampin can cause discoloration of bodily fluids, including tears, which can stain soft contact lenses. Patients are usually advised to avoid wearing soft contact lenses during treatment.
C. “This medication will not interfere with the effectiveness of oral contraceptives.” This statement is incorrect because rifampin is known to reduce the effectiveness of oral contraceptives. Patients should be advised to use an alternative or additional form of contraception while taking rifampin.
D. “Your urine will turn orange while you are taking this medication.” This statement is correct. Rifampin commonly causes a harmless discoloration of urine, sweat, saliva, and tears to an orange or reddish color. Patients should be informed about this side effect to avoid unnecessary concern.
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