A nurse is providing teaching to a client who has emphysema and a new prescription for theophylline. Which of the following instructions should the nurse provide?
Increase fluids to 1L/per day.
Administer the medication with food.
Consume a high-protein diet.
Avoid caffeine while taking this medication.
The Correct Answer is D
A. Increase fluids to 1L/per day. Clients with emphysema are often encouraged to increase fluid intake beyond 1 liter to help thin secretions, but 1 liter per day is generally insufficient.
B. Administer the medication with food. Theophylline should not necessarily be taken with food; it is generally taken on an empty stomach, but it can be taken with food if gastrointestinal upset occurs.
C. Consume a high-protein diet. High-protein diets may increase the metabolism of theophylline, potentially decreasing its therapeutic effect. Dietary considerations for theophylline involve avoiding caffeine.
D. Avoid caffeine while taking this medication. Theophylline is a methylxanthine, similar to caffeine, and consuming caffeine can increase the risk of side effects like tachycardia, nervousness, and insomnia.
Free Nursing Test Bank
- Free Pharmacology Quiz 1
- Free Medical-Surgical Quiz 2
- Free Fundamentals Quiz 3
- Free Maternal-Newborn Quiz 4
- Free Anatomy and Physiology Quiz 5
- Free Obstetrics and Pediatrics Quiz 6
- Free Fluid and Electrolytes Quiz 7
- Free Community Health Quiz 8
- Free Promoting Health across the Lifespan Quiz 9
- Free Multidimensional Care Quiz 10
View Related questions
Correct Answer is C
Explanation
A. Urine-specific gravity: While urine-specific gravity can provide information on kidney function, it does not specifically measure renal impairment or disease progression, especially in SLE.
B. Serum potassium: Serum potassium levels can be affected by renal function but are not a direct indicator of renal health and can be influenced by many other factors.
C. Serum creatinine: Serum creatinine is a more reliable indicator of renal function, as it reflects how well the kidneys are filtering waste. In clients with SLE, kidney involvement is a common complication.
D. Serum sodium: Serum sodium levels do not directly indicate renal function, though kidney impairment can impact electrolyte levels.
Correct Answer is B
Explanation
A. Respiratory distress syndrome occurs in babies with frequent colds. This statement is inaccurate; respiratory distress syndrome (RDS) is not associated with frequent colds.
B. Respiratory distress syndrome occurs in premature and low-birth-weight babies. This statement accurately describes RDS, as it is primarily seen in premature infants due to insufficient surfactant production.
C. Respiratory distress syndrome occurs in babies with genetic allergies. RDS is not directly related to genetic allergies; it is a condition primarily linked to prematurity and lung maturity.
D. Respiratory distress syndrome occurs in babies stressed during the pregnancy. While stress during pregnancy can affect outcomes, RDS is specifically associated with lung development in premature infants rather than stress alone.