Your client with asthma is receiving aminophylline intravenously. Which manifestation alerts you to the possibility of aminophylline toxicity?
A. Pulse oximetry of 93%
B. Increased restlessness
C. Hourly urine output of 45 mL
D. Heart rate increase from 72 to 84 beats per minute
B
Methylxanthine, including aminophylline, stimulates the sympathetic nervous system. Manife-stations of toxicity include CNS irritability, restlessness, tachycardia, nausea and vomiting, pal-pitations, and dizziness.
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When caring for an unconscious patient what nursing intervention takes highest priority?
A) Inserting an indwelling urinary catheter B) Maintaining a patent airway C) Putting a nasogastric (NG) tube in place D) Administering an enema daily
The nurse notes the patient's chart lists "dyspareunia" as a complaint. What teaching does the nurse plan to provide?
a. Use of water-soluble lubricants b. Performing Kegel exercises c. Deep breathing and relaxation d. Use of antifungal medications
A client is learning how to perform Kegel exercises. Which statement by the client indicates a need for additional teaching?
a) "I should draw in my muscles like when I'm moving my bowels." b) "I should repeat the sequence of exercises 3 to 4 times a day." c) "I need to hold the position for at least 15 seconds." d) "I need to sit or stand with my legs slightly apart."
While reviewing the patient's lab test results, the nurse identifies which of the following findings as abnormal?
a. pH 7.37 b. SaO2 98% c. PaCO2 54 mm Hg d. PaO2 82 mm Hg