A patient has been admitted with acute asthma and has had nausea and vomiting. Drug history reveals that the patient has been taking theophylline (Elixophyllin) for 3 weeks
Prior to the ad-ministration of theophylline the nurse should check the orders for a. renal function tests.
b. a plasma drug level.
c. a basal metabolic panel (BMP).
d. complete blood count. (CBC).
B
Toxicity may be related to theophylline levels, so the priority is to assess the drug level. At the first indication of toxicity administration of the theophylline should cease. Reactions include nausea, vomiting, diarrhea, and restlessness.
Renal function tests are not indicated with these symptoms nor are a BMP or a CBC.
You might also like to view...
A child with a head injury sleeps unless aroused, and when aroused responds briefly before falling back to sleep. What should the nurse chart for this child's level of consciousness?
a. Disoriented b. Obtunded c. Lethargic d. Stuporous
When developing a plan of care for a group of male patients experiencing erectile dysfunction, which of the following would the nurse expect to institute first?
A) Lifestyle changes B) Adjustments to current medications C) Psychotherapy D) Behavior modification
You are caring for a patient who is receiving oxygen. Which of the following guidelines should be followed?
A) Place a NO SMOKING sign on the door of the patient's room. B) Keep the oxygen tubing free of kinks. C) Monitor any electrical devices in the patient's room D) all of the above
A pregnant woman asks the nurse about taking an antacid for indigestion. what is the nurses best response?
a. you wont be allowed to take an antacid while you are pregnant b. lets check with your obstetrician to see what is recommended c. go ahead and use an Al based antacid d. sodium bicarbonate would be the safest choice