A patient who takes theophylline (Theochron) twice daily for chronic stable asthma develops an infection and will take ciprofloxacin. The nurse will contact the provider to discuss:
a. changing to a different antibiotic.
b. reducing the theophylline dose.
c. giving theophylline once daily.
d. switching from theophylline to a LABA.
ANS: B
Fluoroquinolone antibiotics increase theophylline levels, so the dose of theophylline may need to be reduced to prevent theophylline toxicity. Changing antibiotics, giving the theophylline once daily, and changing to a LABA are not indicated.
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The nurse is preparing to use an otoscope to examine a patient's ear canal and drum. The patient has to be reminded to hold the head in one position. Which grip should the nurse use when examining this patient?
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