The asthmatic child who has been taking theophylline complains of stomachache and tachycardia and is sweating profusely. What does the nurse recognize as the cause of these symptoms?
a. Severe asthma attack
b. Allergic response to theophylline
c. Onset of bronchitis
d. Drug toxicity
ANS: D
The symptoms described are the signs of theophylline toxicity.
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The home health nurse assesses a patient who creates elaborate excuses for not leaving home. Further questioning reveals the patient had not left home for 6 months. The nurse documents these findings as:
a. mania. b. depression. c. agoraphobia. d. anxiety.
A client at 33 weeks gestation has a complete blood cell count drawn. When the client hears that her hemoglobin level was higher before her pregnancy, she asks if this will increase the risk to her unborn baby
What information should be provided to the client? 1. If the client increases the number of prenatal vitamins taken, the risk to the fetus will be eliminated. 2. The fetus is at an increased risk of prematurity. 3. Dietary management will eliminate the risk to the fetus. 4. The fetus will likely suffer from anemia as well.
The nurse discovers a medication error on a second nurse's documentation, so the nurse completes an incident report. Which statement should the nurse include in the report?
1. "Client will sleep comfortably for the rest of the night.". 2. "Nurse may have used a syringe meant for another client.". 3. "Morphine 10 mg IM administered rather than 5 mg as ordered.". 4. "The nurse needs to observe the client for signs of oversedation.".
A nurse is administering a potassium supplement to a patient. What will the nurse do to disguise the taste and decrease gastric irritation?
A) dilute it B) give it after meals C) mix it with food D) freeze it