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 B
Explanation
hydrochlorothiazide is a thiazide diuretic which lowers blood pressure through inhibition of water reabsorption in the renal tubules. Like all diuretics, it should be taken early in the morning to avoid sleep interruption due to frequent urination.
A. muscle pain is an adverse effect of hydrochlorothiazide that should be reported.
C. therapeutic effect is monitored using blood pressure measurements
D. hydrochlorothiazide can be taken with or without food
Correct Answer is A
Explanation
Furosemide decreases excretion of uric acid in the renal tubules. This leads to high levels of uric acid accumulating in the blood leading to hyperuricemia.
B-Furosemide causes hypocalcemia
C-No effect of on chloride or sodium levels in blood
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