Difficulty: Medium
Average Score: 95%
Full-length
Passage / Scenario
A 12-year-old child is receiving intravenous theophylline (Aminophylline). The child presents with signs of tachycardia and irritability.Which of the following nursing actions is MOST appropriate?
Correct answer
C
Rationale
Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) may help the client to cope with current symptoms, but is not highest priority (2) will mask the signs of toxicity (3) correct-signs of toxicity need to be reported to the physician (4) does not take action to resolve the problem