A client is receiving theophylline. The nurse checks the client's serum theophylline level and finds it to be less than therapeutic. The nurse reviews the client's medical record, noting that which of the following might be a reason for this?

Select all that apply.

A) Nicotine
B) Allopurinol
C) Verapamil
D) Phenytoin
E) Ketoconazole


Ans: A, D, E
Feedback:
Nicotine, phenytoin (a hydantoin), and ketoconazole can decrease theophylline levels. Verapamil (a calcium channel blocker) and allopurinol can increase theophylline levels.

Nursing

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The nurse reports which assessments that suggest a meconium ileus in a newborn? (Select all that apply.)

a. Abdominal distention b. Vomiting c. Hiccoughing d. Jaundice e. Absence of stool

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A nurse on a cardiac care unit performs client education at many different points during clients' treatment

However, the nurse has recently been assigned to teach a formal, group education series for adults who have undergone recent cardiac bypass graft surgery. When preparing to provide formal teaching, the nurse should: A) Ensure that all teaching materials are no higher than a third grade reading level B) Divide the learners into small groups based on their culture of origin C) Create a learning plan that identifies specific learning outcomes and learning activities D) Have the learners teach one another the material rather than the nurse presenting it directly to the group

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The pediatric nurse is aware that frostbite results from exposure to extreme cold for a minimum of:

A) 30 minutes. B) 60 minutes. C) 90 minutes. D) 120 minutes.

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In component designs, the qualitative and quantitative aspects are fairly discrete

A) True B) False

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