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
Sim’s position places the lower gastrointestinal tract in the anatomical position allowing for the client's comfort as well as retention of the suppository once inserted. is the most appropriate position for the insertion of a rectal suppository. The client lies on the left lateral side with the lower arm positioned behind the body, and the upper thigh flexed.

Correct Answer is D
Explanation
Furosemide is a loop diuretic that increases the excretion of potassium in the urine, leading to hypokalemia. Therefore, supplementation is important for clients on furosemide to prevent complications related to hypokalemia. One medium-sized banana contains approximately 400-450 mg of potassium and hence can help replenish potassium levels in individuals taking furosemide.
A, B, C contain very low potassium levels as compared to bananas
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