A nurse is providing teaching to a client who has emphysema and a new prescription for theophylline. Which of the following instructions should the nurse provide?

Increase fluids to 1L/per day.

Administer the medication with food.

Consume a high-protein diet.

Avoid caffeine while taking this medication.

Answer and Explanation

The Correct Answer is B

A. Increase fluids to 1L/per day. Clients with emphysema are often encouraged to increase fluid intake beyond 1 liter to help thin secretions, but 1 liter per day is generally insufficient.

B. Administer the medication with food. Theophylline should not necessarily be taken with food; it is generally taken on an empty stomach, but it can be taken with food if gastrointestinal upset occurs.

C. Consume a high-protein diet. High-protein diets may increase the metabolism of theophylline, potentially decreasing its therapeutic effect. Dietary considerations for theophylline involve avoiding caffeine.

D. Avoid caffeine while taking this medication. Theophylline is a methylxanthine, similar to caffeine, and consuming caffeine can increase the risk of side effects like tachycardia, nervousness, and insomnia.

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Correct Answer is D

Explanation

A. Limit caffeine intake. While caffeine can affect some patients, it is not a specific concern with inhaled corticosteroids like beclomethasone.

B. Take the medication with meals. Inhaled corticosteroids like beclomethasone are typically not taken with meals as they are inhaled, not ingested.

C. Check the pulse after medication administration. Monitoring the pulse is not necessary for beclomethasone unless the client experiences specific symptoms related to tachycardia, which is not common with inhaled corticosteroids.

D. Rinse the mouth after administration. Rinsing the mouth after using inhaled corticosteroids helps prevent oral thrush and other oral side effects associated with the medication.

A. "Use the peak expiratory flow meter once per week." B. "Take cromolyn sodium at the first sign of breathing difficulty." C. "Avoid triggers that cause an attack." D. "You should stop playing basketball, but you can swim instead."

Correct Answer is C

Explanation

A. "Use the peak expiratory flow meter once per week." The peak expiratory flow meter is usually recommended for daily use in asthma management to monitor lung function and detect any changes early.

B. "Take cromolyn sodium at the first sign of breathing difficulty." Cromolyn sodium is a mast cell stabilizer and is used as a preventative medication rather than for quick relief of symptoms, so it should be taken regularly as prescribed, not only when symptoms arise.

C. "Avoid triggers that cause an attack." Avoiding known asthma triggers is an important part of asthma management to prevent attacks and exacerbations.

D. "You should stop playing basketball, but you can swim instead." Exercise should not necessarily be avoided; instead, it should be managed appropriately with pre-treatment if needed. Avoiding all sports activities is not generally recommended.

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A nurse is providing teaching to a client who has emphysema and a new prescription for theophylline. Which of the following instructions should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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