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 C

Explanation

A. Obtain arterial blood gases is not the immediate action required for hypoglycemia. It is more relevant for assessing respiratory and metabolic status.
B. Warm formula to room temperature is not related to managing hypoglycemia. It is a standard practice for comfort but does not address the low blood glucose levels.
C. Administer IV dextrose is the appropriate action to treat hypoglycemia. IV dextrose provides a rapid source of glucose to raise blood sugar levels and prevent complications associated with hypoglycemia.
D. Discontinue the infusion is not the correct action. The infusion may need to be adjusted, but the immediate priority is to correct the hypoglycemia with IV dextrose.

A. Monitor the client’s thyroid function levels. B. Collect the client’s uric acid level. C. Obtain the client’s HDL level. D. Check the client’s glucose level.

Correct Answer is D

Explanation

A. Monitor the client’s thyroid function levels is not relevant to the administration of metformin, as metformin does not affect thyroid function.
B. Collect the client’s uric acid level is not necessary in this context, as metformin does not typically impact uric acid levels.
C. Obtain the client’s HDL level is not relevant to the administration of metformin, as metformin does not directly affect HDL levels.
D. Check the client’s glucose level is the most appropriate action, as metformin is an antidiabetic medication that lowers blood glucose levels. Monitoring the client’s glucose level will help assess the impact of the incorrect medication administration and guide further treatment.

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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?

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Naxlex Comprehensive Predictor Exams

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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?