A nurse is assessing a client who has started taking theophylline. Which of the following client findings should indicate to the nurse that the medication is effective?

Increased blood pressure

Decreased wheezing

Decreased urine output

Increased level of consciousness

Answer and Explanation

The Correct Answer is B

- Theophylline is used in the management of asthma and COPD which present with wheezing and respiratory distress. COPD is characterized by chronic inflammation of the airway and increased mucus secretion leading to obstruction of airflow. Theophylline stimulates the respiratory centers to increase ventilation.

A- No effect on blood pressure C- increases urine output

D-Theophylline is a CNS stimulant

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Correct Answer is D

Explanation

metoclopramide is a dopamine antagonist which could interact with central dopamine receptors to cause tardive dyskinesia. The nurse should monitor the client for tardive dyskinesia, a serious movement disorder that can be caused by high-dose metoclopramide. When administering injections, it is generally recommended to inject the medication into the lateral thigh.

A-ACEIS, ARBS cause angioedema and persistent dry cough

B-Corticosteroids or other immunosuppressants increases risk of fungal infections such as oral candidiasis

C-anticoagulants can cause black stools which is a sign of upper GI bleeding.

A. Headache B. Hypotension C. Chest pain D. Extravasation

Correct Answer is B

Explanation

Septic shock is a state of reduced intravascular volume due to extravasation of plasma. It is caused by systemic infections that lead to inflammation and increased leakage in blood vessels. It presents with hypotension, and persistent hypotension indicates that the infusion rate is not addressing the shock status.

A, C, D- These are adverse effects that can be observed with dopamine and could be worsened by increasing the infusion rate.

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A nurse is assessing a client who has started taking theophylline. Which of the following client findings should indicate to the nurse that the medication is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving high-dose metoclopramide. The nurse should monitor the client for which of the following adverse effects?

Correct Answer is D

Explanation

A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?

Correct Answer is B

Explanation

A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hr after taking levothyroxine before taking which of the following supplements?

A nurse is assessing a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit?

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A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following factors predisposes this client to developing digoxin toxicity?

A nurse is assessing a client who is taking phenelzine and reports eating aged cheese. Which of the following is a manifestation of an interaction between the medication and the food?

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