The nurse is planning education for a client newly prescribed theophylline. What information should the nurse plan to include? Select all that apply.
Stop taking theophylline if you begin smoking.
Theophylline should be taken every day.
Headaches may occur when taking theophylline.
Report palpitations to your healthcare provider.
If you forget your dose, take two the next day.
Correct Answer : B,C,D
A. Stop taking theophylline if you begin smoking: While smoking significantly increases the metabolism of theophylline (requiring a dose increase to stay effective), the patient should never just stop the medication. Instead, they must notify their provider so the dosage can be adjusted.
B. Theophylline should be taken every day: Theophylline is used for maintenance therapy in conditions like asthma or COPD. Consistent daily dosing helps maintain therapeutic serum levels and prevent exacerbations.
C. Headaches may occur when taking theophylline: Headache is a common side effect due to central nervous system stimulation. Clients should be informed so they can recognize mild, expected reactions versus more serious adverse effects.
D. Report palpitations to your healthcare provider: Theophylline can cause cardiac stimulation, including tachycardia or palpitations. Reporting these symptoms promptly helps prevent serious arrhythmias and allows for dosage adjustment if needed.
E. If you forget your dose, take two the next day: Doubling the dose to make up for a missed one increases the risk of toxicity, including seizures or severe cardiac effects. Clients should take only the next scheduled dose as prescribed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Report clear-colored sputum to the provider: Clear-colored sputum is typically normal and not an indication of infection or complication. The client does not need to report it unless accompanied by other concerning symptoms.
B. Increase your oral fluid intake: Guaifenesin is an expectorant that works by thinning and loosening mucus in the airways. Increasing fluid intake helps optimize its effectiveness, making coughs more productive and facilitating mucus clearance.
C. Report symptoms that last longer than 2 days: Symptoms of a sinus infection often last longer than two days, and short-duration monitoring is insufficient. Clients are usually advised to report persistent or worsening symptoms after about 7–10 days, so this instruction is inaccurate.
D. This medication will stop your cough: Guaifenesin does not suppress cough; instead, it loosens mucus to make coughing more productive. Telling the client it will stop their cough could lead to misunderstanding of the medication’s purpose and effectiveness.
Correct Answer is B
Explanation
A. Productive cough: A persistent cough is commonly associated with ACE inhibitors, not angiotensin receptor blockers like valsartan. Clients taking valsartan rarely experience cough as a side effect.
B. Hypotension: Valsartan lowers blood pressure by blocking angiotensin II receptors, which can sometimes lead to excessive blood pressure reduction. Monitoring for hypotension, especially after the initial doses or in clients with volume depletion, is important to prevent dizziness, falls, or syncope.
C. Respiratory depression: Respiratory depression is not a known adverse effect of valsartan. The medication primarily affects the cardiovascular system without depressing the respiratory drive.
D. Hypokalemia: Unlike some diuretics, valsartan does not typically cause potassium loss. In fact, ARBs may slightly increase serum potassium levels, so hypokalemia is not a common concern with this drug.
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