A nurse in an emergency department is preparing to administer theophylline by continuous intravenous (IV) infusion to a client who is experiencing an asthma attack. Which of the following actions should the nurse take?
Infuse the medication at 35 mg/min.
Infuse the medication with an IV pump.
Administer a test dose first.
Cover the IV container with dark paper.
The Correct Answer is B
Theophylline has a narrow therapeutic window which increase the risk of overdose and toxicity. It is also given at very small doses which could be difficult for the nursing staff to accurately titrate the drops and hence requires an infusion pump
A. Infusion of theophylline loading dose should not exceed 25mg/min due to risk of seizures and cardiac arrhythmias
C. Use of a test dose is not necessary as the risk of hypersensitivity with theophylline is very low.
D. Covering the IV container with dark paper is not necessary for the administration of theophylline.
Nursing Test Bank
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Related Questions
Correct Answer is D
Explanation
Gentamicin is a nephrotoxic and ototoxic antibiotic. It I important to have its serum levels should be closely monitored to ensure they are within the therapeutic window
A- Gentamicin is an intravenous formulation and its administration is not related to meals
C- Limiting fluid intake increases the risk of renal injury
D- Agitation is not a common side effect with gentamicin use
Correct Answer is B
Explanation
Methotrexate is immunomodulatory that inhibits DNA synthesis and repair but blocking the metabolism of DNA building blocks. In addition to it disease modifying effects on targeted tissues, it also affects rapidly dividing cells such as the bone marrow leading to reduced platelets that causes bleeding. Information on number of platelets is important to guide the next action
A-Electric brush will worsen the bleeding
C-This is important but not priority as the bleeding is likely related to the medication
D- Explaining is important but does not address the issue at hand
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