A nurse is reinforcing discharge instructions for a client who has asthma and is about to start taking theophylline.
The nurse should instruct the client to monitor which of the following findings is an adverse effect of the medication.
Drowsiness.
Constipation.
Tachycardia.
None of the above.
The Correct Answer is C
“Tachycardia.” Theophylline can cause a number of side effects, including tachycardia (fast heart rate) 1.
The nurse should instruct the client to monitor for this adverse effect and report it to their healthcare provider if it occurs.
Choice A is not correct because drowsiness is not a common side effect of theophylline.
Choice B is not correct because constipation is not a common side effect of theophylline.
Choice D is not correct because tachycardia is a known adverse effect of theophylline.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The client should remove the used patch with medication areas to the inside and discard it in a closed receptacle 1.
Choice B is incorrect because the nitroglycerin patch should not be kept in place for 24 hours per day.
Instead, it should be worn for 12 to 14 hours and then removed 12.
Choice C is incorrect because while it is important to apply the patch to a clean, dry skin area with little or no hair that is free of scars, cuts, or irritation 1, there is no specific instruction to cleanse excess hair from the skin before applying the patch.
Choice D is incorrect because a second patch should not be applied if angina pain occurs.
Nitroglycerin transdermal patches are used to reduce the number of angina attacks over a long time and will not relieve an attack that has already started because it works too slowly 1.
Instead, the client should check with their doctor if they also need a fast-acting medicine to relieve the pain of an angina attack 1.
Correct Answer is A
Explanation
“Patient’s platelets 100,000.” A nurse should report a low platelet count to the provider because it may indicate heparin-induced thrombocytopenia (HIT), a serious complication of heparin therapy.
Choice B is not correct because a Prothrombin time (PT) of 12 seconds is within the normal range and does not need to be reported.
Choice C is not correct because Thrombin time (TT) is not typically used to monitor heparin therapy.
Choice D is not correct because a Hematocrit of 35% is within the normal range and does not need to be reported.
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