A nurse is providing discharge dietary teaching to a client who has a new prescription for theophylline. Which of the following instructions should the nurse include?
"Limit your sodium intake."
"Restrict milk products."
"Avoid caffeinated beverages."
"Take the medication with meals."
The Correct Answer is C
Choice A Reason:
"Limit your sodium intake." Is incorrect. Sodium restriction might be appropriate for some cardiovascular or renal conditions, but it is not specifically related to theophylline use.
Choice B Reason:
"Restrict milk products." is incorrect. Restricting milk products is not a necessary dietary consideration for theophylline. However, consuming high-fat dairy products may delay the absorption of theophylline, potentially affecting its effectiveness.
Choice C Reason:
"Avoid caffeinated beverages." Is correct. Theophylline is a bronchodilator used to treat respiratory conditions like asthma or chronic obstructive pulmonary disease (COPD). It belongs to the class of methylxanthine medications and acts similarly to caffeine. Consuming additional caffeine through beverages like coffee, tea, or certain sodas can increase the risk of adverse effects associated with theophylline, such as increased heart rate or nervousness. Hence, avoiding caffeinated beverages is advisable to minimize the risk of exacerbating these effects.
Choice D Reason:
"Take the medication with meals." Taking theophylline with or without meals is typically acceptable, but it's essential to maintain consistency in timing and avoid significant changes in dietary habits that might affect its absorption or metabolism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
"You should monitor for hearing difficulties." is correct. Loop diuretics like bumetanide can occasionally cause ototoxicity, resulting in hearing difficulties or ringing in the ears (tinnitus) as a potential adverse effect. It's important for clients taking these medications to be aware of such symptoms and report them promptly to their healthcare provider.
Choice B Reason:
"You should take the medication at bedtime." Is incorrect. Bumetanide is commonly prescribed to be taken in the morning to avoid nighttime diuresis and potential sleep disruption due to increased urination.
Choice C Reason:
"You should decrease your intake of foods high in potassium." Is incorrect. Loop diuretics often lead to potassium loss, so clients may actually need to increase their intake of potassium-rich foods or take potassium supplements under healthcare provider guidance to maintain normal potassium levels.
Choice D Reason:
"You should take this medication on an empty stomach." Is incorrect. Bumetanide can be taken with or without food, so it's not necessary to take it on an empty stomach.
Correct Answer is C
Explanation
Choice A Reason:
There's no requirement to lie down for an hour after administering nasal cyanocobalamin.
Choice B Reason:
The duration of treatment might vary depending on the healthcare provider's instructions and the client's response, so stating a specific duration of 6 months may not be accurate.
Choice C Reason:
"Administer the medication into one nostril once per week. “Nasal cyanocobalamin is typically used weekly for the treatment of pernicious anemia. It's administered into one nostril as directed by a healthcare provider. This method allows for the absorption of vitamin B12 through the nasal mucosa.
Choice D Reason:
Using a nasal decongestant before administering the medication is not typically part of the recommended administration protocol for nasal cyanocobalamin.
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