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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Chewing sugarless gum or sucking on hard sour candies can help stimulate saliva production and alleviate the symptoms of dry mouth.
B. Dry mouth is a common side effect of diphenhydramine and can often be managed with simple interventions like chewing sugarless gum. Notifying the provider is not necessary
C. Placing a humidifier at the bedside may help with dry mouth indirectly by increasing moisture in the air, but it's not a direct solution for dry mouth caused by diphenhydramine.
D. Administering the medication with food is not specifically related to managing dry mouth caused by diphenhydramine.
Correct Answer is D
Explanation
Ciprofloxacin is a fluoroquinolone antibiotic that is associated with tendon rupture and tendonitis especially involving the Achilles tendon. Informing the client to report any tendon pain ensure that any complication is addressed and the medications stopped if need be.
A. ciprofloxacin causes diplopia and blurred vision but does not cause photophobia hence no need for sunglasses
B. The client should increase hydration as organism in UTI can predispose to urolithiasis
C. Antacids containing aluminum, magnesium, or calcium can interfere with the absorption of ciprofloxacin, reducing its effectiveness. They should be taken at least 2 hours before or 6 hours after taking the medication.
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