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.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
Rationale- Levothyroxine is a synthetic form of thyroxine. It is used to provide the body with thyroxine to sustain basal metabolism in cases of hypothyroidism. An overdose of the medication causes symptoms which include insomnia, hyperactive tendon reflexes, diarrhea and anxiety
A, B, D- features of hypothyroidism
Correct Answer is C
Explanation
Rifampin causes harmless discoloration of bodily fluids, including urine, sweat, saliva, and tears, to an orange-red color. Other side effects include gastrointestinal side effects such as nausea, vomiting, and diarrhea.
A. Rifampin should be taken on an empty stomach, as food can interfere with its absorption.
B. Insomnia is not a common side effect of rifampin
D. Treatment for tuberculosis goes on for at least 6 to 9 months. Treatment duration varies depending on the specific regimen and the severity of the infection.
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