Free NCLEX-RN Exam Braindumps (page: 137)

Page 137 of 431

A client's physician has prescribed theophylline (Theo- Dur) to help control the bronchospasm associated with the client's COPD. Instructions that should be given to the client include:

  1. "Call your physician if you develop palpitations, dizziness, or restlessness.''
  2. "Cigarette smoking may significantly increase the risk for theophylline toxicity.''
  3. "Take this medication on an empty stomach.''
  4. "Do not take your medicine if your pulse is less than 60 beats per minute.''

Answer(s): A

Explanation:

(A) Indications of theophylline toxicity include palpitations, dizziness, restlessness, nausea, vomiting, shakiness, and anorexia. (B) Cigarette smoking significantly lowers theophylline plasma levels. (C) Theophylline should be taken with food to decrease stomach upset. (D) These instructions are appropriate for someone taking digoxin.



A client's physician has prescribed theophylline (Theo- Dur) to help control the bronchospasm associated with the client's COPD. Instructions that should be given to the client include:

  1. "Call your physician if you develop palpitations, dizziness, or restlessness.''
  2. "Cigarette smoking may significantly increase the risk for theophylline toxicity.''
  3. "Take this medication on an empty stomach.''
  4. "Do not take your medicine if your pulse is less than 60 beats per minute.''

Answer(s): A

Explanation:

(A) Indications of theophylline toxicity include palpitations, dizziness, restlessness, nausea, vomiting, shakiness, and anorexia. (B) Cigarette smoking significantly lowers theophylline plasma levels. (C) Theophylline should be taken with food to decrease stomach upset. (D) These instructions are appropriate for someone taking digoxin.



A 13-year-old hemophiliac is hospitalized for hemarthrosis of his right knee. To relieve the pain, the nurse should:

  1. Place on bed rest; elevate and splint the right knee
  2. Apply moist heat to the right knee
  3. Administer aspirin for pain
  4. Encourage active range of motion to right knee

Answer(s): A

Explanation:

(A) Immobilization, splinting, and bed rest will reduce the bleeding. Once bleeding is reduced or stopped, the pain will subside. (B) Moist heat causes vasodilation and bleeding. Ice or cold compresses should be applied. (C) Aspirin decreases platelet aggregation, which causes bleeding. (D) Active range of motion aggravates bleeding and damages the synovial sac during bleeding episodes.



A 13-year-old hemophiliac is hospitalized for hemarthrosis of his right knee. To relieve the pain, the nurse should:

  1. Place on bed rest; elevate and splint the right knee
  2. Apply moist heat to the right knee
  3. Administer aspirin for pain
  4. Encourage active range of motion to right knee

Answer(s): A

Explanation:

(A) Immobilization, splinting, and bed rest will reduce the bleeding. Once bleeding is reduced or stopped, the pain will subside. (B) Moist heat causes vasodilation and bleeding. Ice or cold compresses should be applied. (C) Aspirin decreases platelet aggregation, which causes bleeding. (D) Active range of motion aggravates bleeding and damages the synovial sac during bleeding episodes.



Page 137 of 431



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Naveen Ahlam commented on November 29, 2024
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