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 B

Explanation

A) Antibiotic resistance is not a reason to adjust the dose of gentamicin.

B) Gentamicin is primarily excreted by the kidneys. In the presence of renal disease, the dose may need to be adjusted to prevent toxicity.

C) Liver disease does not directly impact the metabolism or excretion of gentamicin, so it is not typically a factor in dose adjustment.

D) Interpatient variation alone may not prompt a specific dose adjustment; individual patient factors, especially renal function, are crucial in determining gentamicin dosage.

A. Rhabdomyolysis B. Red man syndrome C. Side effects D. Stevens-Johnson syndrome

Correct Answer is B

Explanation

A) Rhabdomyolysis is a serious condition characterized by the breakdown of skeletal muscle tissue and is not associated with the symptoms described.

B) Red man syndrome is an infusion reaction associated with the rapid infusion of vancomycin. Symptoms include flushing, rash, pruritus, urticaria, tachycardia, and hypotension.

C) Side effects are general and can include a range of symptoms. Red man syndrome is a specific reaction associated with vancomycin.

D) Stevens-Johnson syndrome is a severe skin reaction that involves blistering and peeling of the skin. It is not associated with the rapid infusion of vancomycin.

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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

Correct Answer is B

Explanation

The nurse is caring for a client who is receiving vancomycin. The nurse notes the client is experiencing flushing, rash, pruritus, and urticaria. The client's heart rate is 120 beats/min, and blood pressure is 92/57 mm Hg. What complication is the client experiencing?

Correct Answer is B

Explanation

A client who is receiving a final dose of intravenous cephalosporin complains of pain and irritation at the infusion site. The nurse observes signs of redness at the intravenous insertion site and along the vein. What is the nurse's action?

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