The client has begun therapy with oxtriphylline. The nurse ...

[biggirl4568]

The client has begun therapy with oxtriphylline. The nurse determines that the client understands dietary alterations if the client states to limit which of the following while taking this medication? Select all that apply.
 
  1. Milk
  2. Coffee
  3. Oysters
  4. Oranges
  5. Pineapple
  6. Chocolate

Question 2

When teaching the client with adrenal insufficiency about cortisone (Cortone), the nurse should include which of the following? Select all that apply.
 
  1. Increase intake of sodium.
  2. Take the medication with food.
  3. Increase intake of potassium-rich foods.
  4. Stay away from people with active infections.
  5. Discontinue the medication when symptoms subside.
  6. Notify the physician if illness occurs or surgery is anticipated.

[31809pancho]

Answer to Question 1

2, 6

Rationale: Oxtriphylline is a xanthine bronchodilator. The nurse teaches the client to limit the intake of xanthine-containing foods while taking this medication. These include coffee and chocolate. The other food items are acceptable to consume.

Answer to Question 2

2, 3, 4, 6

Rationale: Glucocorticoids should not be abruptly discontinued because acute adrenal insufficiency could occur. Because glucocorticoids cause sodium and water to be retained while causing loss of potassium, the client should limit sodium intake and increase potassium intake. These medications can increase the risk of infection, and the client should avoid contact with persons who are ill. Taking the medication with food helps prevent stomach upset. Clients may need an increase in dosage during illness or times of stress (surgery).