Author Question: A client receives theophylline (Theo-Dur) and calls the clinic to say he has had nausea and vomiting ... (Read 56 times)

mrsjacobs44 · **on:** Jul 23, 2018

A client receives theophylline (Theo-Dur) and calls the clinic to say he has had nausea and vomiting for two days. What is the best action by the nurse?

1. Tell the client to come to the clinic for an assessment.
2. Ask the client if he has eaten at any unclean restaurants.
3. Ask the client if he has been exposed to anyone with the flu.
4. Recommend that the client begin a clear liquid diet.

Question 2

The nurse teaches the client about the use of a metered-dose inhaler (MDI) and spacer. The nurse evaluates that additional teaching is required when the client makes which statement?

1. I need to follow the instructions about using the metered-dose inhaler (MDI).
2. I need to rinse my mouth each time after using the metered-dose inhaler (MDI).
3. I need to drink a lot of fluids while I am using the metered-dose inhaler (MDI).
4. I should keep the spacer moist between uses by storing it in a plastic zipbag.

underwood14 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

4. Recommend that the client begin a clear liquid diet.
Correct Answer: 1
Rationale 1: Nausea and vomiting are symptoms of theophylline toxicity; the client needs to come to the clinic for an assessment.
Rationale 2: Food poisoning could be the cause of the client's symptoms, but he needs to be assessed for theophylline toxicity.
Rationale 3: Flu could be the cause of the client's symptoms, but he needs to be assessed for theophylline toxicity.
Rationale 4: A clear-liquid diet might help, but the client needs to be assessed for theophylline toxicity.

Answer to Question 2

Correct Answer: 4
Rationale 1: Following instructions indicates compliance with use of the metered-dose inhaler (MDI).
Rationale 2: Rinsing the mouth after using the metered-dose inhaler (MDI) is correct; it will help reduce oral absorption of the drug.
Rationale 3: Fluids are encouraged to liquefy pulmonary secretions when using the metered-dose inhaler (MDI).
Rationale 4: The spacer and inhaler should be rinsed with water and allowed to air-dry.