A client receives theophylline (Theo-Dur) and calls the clinic to say he has had nausea and vomiting for two days. What is the best action by the nurse?
1. Tell the client to come to the clinic for an assessment.
2. Ask the client if he has eaten at any unclean restaurants.
3. Ask the client if he has been exposed to anyone with the flu.
4. Recommend that the client begin a clear liquid diet.
4. Recommend that the client begin a clear liquid diet.
Correct Answer: 1
Rationale 1: Nausea and vomiting are symptoms of theophylline toxicity; the client needs to come to the clinic for an assessment.
Rationale 2: Food poisoning could be the cause of the client's symptoms, but he needs to be assessed for theophylline toxicity.
Rationale 3: Flu could be the cause of the client's symptoms, but he needs to be assessed for theophylline toxicity.
Rationale 4: A clear-liquid diet might help, but the client needs to be assessed for theophylline toxicity.
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