A patient is receiving aminophylline (Truphylline) intravenously. Which change in assessment findings indicates to the nurse the possibility of drug toxicity?
a. Heart rate increase from 72 to 82 beats per minute
b. Hourly urine output decrease from 50 mL to 40 mL
c. Pulse oximetry increase from 91% to 92%
d. Temperature increase from 99o F to 101o F
D
Methylxanthines, including aminophylline, stimulate the sympathetic nervous system. Signs and symptoms of toxicity include central nervous system irritability, restlessness, temperature eleva-tion, tremors, tachycardia, nausea and vomiting, palpitations, and dizziness.
You might also like to view...
An older patient who is hospitalized has been having difficulty sleeping since admission and is prescribed a low dose of zolpidem (Ambien). What does the nurse realize about this medication?
1. Contains the hormone melatonin 2. Is associated with daytime hangover 3. Does not adversely alter the sleep architecture 4. Is safe to use along with diphenhydramine (Benadryl)
A child has been diagnosed with scabies. Which statement by the parent indicates understanding of the nurse's teaching about scabies?
a. "The itching will stop after the cream is applied." b. "We will complete extensive aggressive housecleaning." c. "We will apply the cream to only the affected areas as directed." d. "Everyone who has been in close contact with my child will need to be treated."
Currently, to what are federal training dollars commonly linked?
A. Outcomes (Do the clients have improved health from interventions?) B. Health care providers (Have professional schools increased enrollment?) C. Process (Teaching students to embrace rural cultural values) D. Structure (Improvements in buildings, equipment, supplies)
A parent diagnosed with schizophrenia and 13-year-old child live in a homeless shelter. The child formed a trusting relationship with a shelter volunteer. The child says, "My three friends and I got an A on our school science project."
The nurse can assess that the child: a. displays resiliency. b. has a passive temperament. c. is at risk for posttraumatic stress disorder. d. uses intellectualization to deal with problems.