A nurse is educating a client who has a new prescription for digoxin. Which of the following statements should the nurse make?

A) "Refusing the injection means you will not get better."
This may increase the client's anxiety. It comes across as coercive and does not respect the client's autonomy. The statement implies that the client has no choice, which can cause distress and reduce trust in the healthcare provider. It fails to address the client's fear of needles and does not offer a solution or alternative.

B) "You should not feel anything more than a minor sting from the injection."
This dismisses the client's fear of needles, which can be a significant phobia for some individuals. It minimizes the client's feelings and does not acknowledge their concern. This response does not offer an alternative or involve the client in the decision-making process, which is important for their comfort and cooperation.

C) "We will discuss other treatment options with your provider."
This is respectful of the client's concerns and involves them in their care plan. It acknowledges the client's fear and offers to explore alternative treatments. This respects the client's autonomy and helps to build trust between the client and the healthcare provider. By involving the provider in the discussion, the nurse ensures that all potential options are considered, which may include oral antibiotics or other forms of treatment that the client may be more comfortable with.

D) "You must take this medication because there is no other option to treat this infection."
This suggests that the client has no choice, which can make the client feel powerless and increase their anxiety. There are often multiple treatment options for infections, including different routes of administration (oral, intravenous) or different medications. This response does not respect the client's autonomy or involve them in the decision-making process

A. “Increased level of consciousness”: While theophylline can have some stimulant effects, an increased level of consciousness is not the primary therapeutic goal of this medication. Theophylline is used to treat respiratory diseases such as asthma and chronic obstructive pulmonary disease (COPD), so its effectiveness is measured by improvement in respiratory symptoms.

B. “Decreased wheezing”: This is the correct answer. Theophylline is a bronchodilator, meaning it helps to open up the airways in the lungs. This can lead to a decrease in symptoms such as wheezing. Therefore, decreased wheezing is an indication that the medication is effective.

C. “Increased blood pressure”: Theophylline can potentially cause an increase in heart rate, which could lead to an increase in blood pressure. However, this is more likely to be a side effect of the medication rather than an indication of its effectiveness.

D. “Decreased urine output”: Theophylline does not typically affect urine output. Therefore, a decrease in urine output would not be an indication that the medication is effective.