A client's serum theophylline level is 28 mcg/mL. The nurse ...

[rmenurse]

A client's serum theophylline level is 28 mcg/mL. The nurse should:
 
  a. plan to administer the next dose of theophylline.
  b. call the lab and have the theophylline level repeated.
  c. hold the next dose of theophylline in six hours.
  d. report the theophylline level to the health care provider.

Question 2

The client asks what happens when beta-2 receptors are stimulated. The nurse's best response would be that this results in:
 
  a. bronchodilation and smooth muscle relaxation.
  b. bronchodilation and smooth muscle contraction.
  c. bronchoconstriction and smooth muscle relaxation.
  d. bronchoconstriction and smooth muscle contraction.

[b614102004]

Answer to Question 1

ANS: D

Feedback
A Incorrect: This is not an appropriate nursing action.
B Incorrect: This is not an appropriate nursing action.
C Incorrect: Although appropriate, it is not the first action of the nurse.
D Correct: The normal theophylline level is 10-20 mcg/mL so the client's level indicates possible toxicity, so the health care provider should be notified.

Answer to Question 2

ANS: A

Feedback
A Correct: When these cells are stimulated, bronchodilation and smooth muscle relaxation occurs.
B Incorrect: Smooth muscle contraction does not occur.
C Incorrect: Bronchoconstriction does not occur.
D Incorrect. Bronchoconstriction and smooth muscle contraction do not occur.