The client with chronic obstructive pulmonary disease (COPD) has had a sample for a serum theophylline level drawn as part of routine follow-up care
Which of the following results would lead the nurse to conclude that the client has most likely been compliant with medication thera-py? 1. 3 mcg/mL
2. 7 mcg/mL
3. 14 mcg/mL
4. 24 mcg/mL
3
Rationale: The therapeutic range for serum theophylline (or aminophylline) level is 10 to 20 mcg/mL. If the level is within the therapeutic range, the client is most likely compliant with medication therapy. If the level is below the therapeutic range, the client may not be compliant with medication therapy and is at risk for more frequent exacerbations of the disease. Clients who are noncompliant require special follow-up to minimize the frequency of complications.
You might also like to view...
A hospital nurse is participating in a drill during which many clients with inhalation anthrax are being admitted. What drugs should the nurse anticipate administering? (Select all that apply.)
a. Amoxicillin (Amoxil) b. Ciprofloxacin (Cipro) c. Doxycycline (Vibramycin) d. Ethambutol (Myambutol) e. Sulfamethoxazole-trimethoprim (SMX-TMP) (Septra)
The nurse uses a picture to show the structures of the internal nose, which are the:
1. turbinates, sinuses, and eustachian tubes. 2. olfactory cells, mucous membrane, and vestibule. 3. vestibular formations, nasal hairs, and turbinates. 4. septum, sinuses, and turbines.
A nurse who collected and organized data during a client history realizes that there is not enough information to plan interventions. Which of the following would be the best remedy to prevent this from happening in the future?
A) The nurse should practice interviewing strategies. B) The nurse should modify data collection tool. C) The nurse should determine specific purpose of data collection. D) The nurse should update the database.
A nurse is caring for a client admitted to the healthcare facility with dehydration. The nurse knows that what most commonly occurs during dehydration?
A) Increase in sodium and electrolyte disturbance B) Increase capillary permeability C) Loss of proteins in the plasma of the blood D) Obstruction of venous blood or lymphatic return