A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment has been effective?

Increased heart rate

Excessive thirst

Moist oral mucous membranes

Decreased blood pressure

Answer and Explanation

The Correct Answer is C

A.   An increased heart rate can be a sign of dehydration and would not indicate that IV fluid replacement has been effective.
B.   Excessive thirst is a symptom of dehydration and would not indicate that IV fluid replacement has been effective.
C.   Moist oral mucous membranes indicate improved hydration status and are a positive response to IV fluid replacement.
D.   Decreased blood pressure is a sign of dehydration and would not indicate that IV fluid replacement has been effective.

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Correct Answer is D

Explanation

A. Taking theophylline with coffee may increase its absorption and risk of adverse effects due to caffeine's effects on metabolism, so this statement is not appropriate.
B. Theophylline is a bronchodilator that may cause dehydration as a side effect, so limiting fluid intake is not recommended.
C. Theophylline sustained-release capsules should not be opened, crushed, or chewed, as it can alter the drug's release characteristics and increase the risk of adverse effects.

D. Monitoring blood levels of theophylline is essential to ensure therapeutic effectiveness and avoid toxicity, so the client's understanding of the need for blood level monitoring indicates comprehension of the teaching.

A. Oxycodone blocks the sodium channel suspending nerve conduction. B. Oxycodone inhibits prostaglandin synthesis. C. Oxycodone promotes vasodilation of cranial arteries. D. Oxycodone uses central nervous system depression.

Correct Answer is D

Explanation

A. Oxycodone primarily exerts its analgesic effects through binding to opioid receptors and modulating neurotransmitter release, rather than blocking sodium channels.
B. Oxycodone does not directly inhibit prostaglandin synthesis; this mechanism is associated with nonsteroidal anti-inflammatory drugs (NSAIDs).
C. Oxycodone does not promote vasodilation of cranial arteries. This mechanism is more commonly associated with medications used to treat migraines, such as triptans.
D. Oxycodone is an opioid analgesic that acts centrally on the nervous system to depress respiratory drive, leading to respiratory depression, especially at higher doses.

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A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new prescription for theophylline, a sustained-release capsule. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client's respiratory rate?

Correct Answer is D

Explanation

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A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment has been effective?

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