A nurse is giving discharge instructions to a client who is beginning theophylline. The nurse should tell the client that this medication might cause which of the following adverse effects?

Drowsiness

Constipation

Oliguria

Tachycardia

Answer and Explanation

The Correct Answer is A

a) Theophylline, a bronchodilator, can cause central nervous system stimulation, leading to side effects such as insomnia, nervousness, and drowsiness.

b) Constipation is not a common adverse effect of theophylline.

c) Oliguria is not a typical side effect of theophylline.

d) Tachycardia is more commonly associated with theophylline toxicity. While it can be a side effect, it is not the most prominent or common adverse effect.

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Correct Answer is A

Explanation

Rationale for A: Ibuprofen is generally considered safe for use while breastfeeding, as it passes into breast milk in small amounts that are not expected to harm the infant.

Rationale for B: Lithium can have serious effects on a breastfeeding infant, as it can cause lethargy and developmental issues. Its use is generally not recommended during breastfeeding.

Rationale for C: Methotrexate is contraindicated during breastfeeding due to its potential toxicity and harmful effects on the infant, including possible effects on growth and development.

Rationale for D: Nicotine is harmful to infants and can affect their development. Smoking or using nicotine products while breastfeeding is discouraged due to the associated risks.

A. Request central venous access. B. Continue the infusion while elevating the arm. C. Immediately stop the infusion and select an alternate intravenous site. D. Apply warm packs to the arm and infuse the medication at a slower rate.

Correct Answer is C

Explanation

a) Requesting central venous access is not the first-line response to signs of redness, pain, and irritation at the current infusion site. It's essential to address the immediate issue first.

b) Continuing the infusion while elevating the arm may exacerbate the symptoms and is not an appropriate action when there are signs of localized irritation.

c) Stopping the infusion and selecting an alternate intravenous site is the correct action to prevent further complications and assess the cause of the irritation.

d) Applying warm packs and infusing the medication at a slower rate may not be sufficient to address the observed redness and pain, and an alternate site should be considered.

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A nurse is giving discharge instructions to a client who is beginning theophylline. The nurse should tell the client that this medication might cause which of the following adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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