This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient is receiving aminophylline (Truphylline) intravenously. Which change in assessment ... (Read 26 times)

Collmarie

  • Hero Member
  • *****
  • Posts: 569
on: Jul 23, 2018
A patient is receiving aminophylline (Truphylline) intravenously. Which change in assessment findings indicates to the nurse the possibility of drug toxicity?
 
  a. Heart rate increase from 72 to 82 beats per minute
  b. Hourly urine output decrease from 50 mL to 40 mL
  c. Pulse oximetry increase from 91 to 92
  d. Temperature increase from 99o F to 101o F

Question 2

A patient is receiving intravenous gentamicin. Which change in condition does the nurse report to the prescriber immediately?
 
  a. Temperature increase from 38 C to 39 C.
  b. Blood pressure decrease from 132/80 to 118/66.
  c. Total 24-hour urine output decrease from 2100 mL to 1100 mL.
  d. White blood cell (WBC) count decrease from 11,000/mm3 to 8500/mm3.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

BAOCHAU2803

  • Sr. Member
  • ****
  • Posts: 316
Reply #1 on: Jul 23, 2018
Answer to Question 1

D
Methylxanthines, including aminophylline, stimulate the sympathetic nervous system. Signs and symptoms of toxicity include central nervous system irritability, restlessness, temperature eleva-tion, tremors, tachycardia, nausea and vomiting, palpitations, and dizziness.

Answer to Question 2

C
Gentamicin is an aminoglycoside antibacterial drug. These drugs are toxic to the kidneys (neph-rotoxic). A decrease of urine output by 1000 mL in a 24-hour time period is cause for concern about kidney function. The drug may need to be stopped or the dosage decreased.


Collmarie

  • Hero Member
  • *****
  • Posts: 569
Reply #2 on: Jul 23, 2018
Thanks


BAOCHAU2803

  • Sr. Member
  • ****
  • Posts: 316
Reply #3 on: Jul 23, 2018
Welcome :)


« previous next »
 

Did you know?

Earwax has antimicrobial properties that reduce the viability of bacteria and fungus in the human ear.

Did you know?

The first oral chemotherapy drug for colon cancer was approved by FDA in 2001.

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Did you know?

The tallest man ever known was Robert Wadlow, an American, who reached the height of 8 feet 11 inches. He died at age 26 years from an infection caused by the immense weight of his body (491 pounds) and the stress on his leg bones and muscles.

Did you know?

Sildenafil (Viagra®) has two actions that may be of consequence in patients with heart disease. It can lower the blood pressure, and it can interact with nitrates. It should never be used in patients who are taking nitrates.

Nurse-patient interaction; nonverbal communication Nurse-patient interaction; nonverbal communication
The path of blood flow through the chambers of the left and right side of the heart, including the v The path of blood flow through the chambers of the left and right side of the heart, including the v
Two modes of evolutionary change. Two modes of evolutionary change.
Patient teaching - eye assessment Patient teaching - eye assessment
Patient teaching: mouth and pharyngeal assessment Patient teaching: mouth and pharyngeal assessment
Dialysis machine showing diffusion of concentrations, which are the same, between the patient’s ... Dialysis machine showing diffusion of concentrations, which are the same, between the patient’s ...
Video: Interview with an Anorexic Woman (Part 2 of 2)

For a complete list of videos, visit our video library