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SAUNDERS NCLEX RN NGN VERSION 1 LATEST 2025 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A client has begun using a methylxanthine bronchodilator. What
beverage should the nurse plan to teach the client to avoid while
taking this medication?
A) Coffee
B) Orange juice
C) Mineral water
D) Cranberry juice - ANSWER-A) Coffee
- Cola, coffee, and chocolate contain methylxanthine and
should be avoided by the client taking a methylxanthine
bronchodilator.
- The additional methylxanthine could lead to increased
incidence of cardiovascular and central nervous system side
effects.
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A client taking albuterol by inhalation cannot cough up secretions.
What should the nurse suggest that the client do to assist in
expectoration of secretions?
A) Get more exercise each day.
B) Use a dehumidifier in the home.
C) Drink increased amounts of fluids every day.
D) Take an extra dose of albuterol before bedtime. - ANSWER-C)
Drink increased amounts of fluids every day.
- A client should drink increased fluids (2000 to 3000 mL/day)
to decrease viscosity and increase expectoration of
secretions.
- This is standard advice for clients receiving any of the
adrenergic bronchodilators, unless the client has another
health problem that contraindicates an increased fluid intake.
A client who has been receiving theophylline by the intravenous
(IV) route has the medication prescription changed to an
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immediate-release oral form of the medication. After discontinuing
the IV medication, when should the nurse schedule the first dose
of the oral medication?
A) Just after the next meal
B) Just before the next meal
C) 4 hours after discontinuing the IV form
D) Immediately on discontinuing the IV form - ANSWER-C) 4
hours after discontinuing the IV form
- With immediate-release preparations, oral theophylline
should be administered 4 to 6 hours after discontinuing the
IV form of the medication.
- If the sustained-release form is used, the first oral dose
should be administered immediately on discontinuation of
the IV infusion.
A client with a prescription to take theophylline daily has been
given medication instructions by the nurse. What statement by the
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client indicates the need for further education regarding the
prescription?
A) "I will take the daily dose at bedtime."
B) "I need to drink at least 2 liters of fluid per day."
C) "I know to avoid changing brands of the medication without my
primary health care provider's approval."
D) "I'll avoid over-the-counter cough and cold medications unless
approved by my health care provider." - ANSWER-A) "I will take
the daily dose at bedtime."
- The client taking a single daily dose of theophylline, a
xanthine bronchodilator, should take the medication early in
the morning.
- This enables the client to have maximal benefit from the
medication during daytime activities.
- In addition, this medication causes insomnia.
SAUNDERS NCLEX RN NGN VERSION 1 LATEST 2025 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A client has begun using a methylxanthine bronchodilator. What
beverage should the nurse plan to teach the client to avoid while
taking this medication?
A) Coffee
B) Orange juice
C) Mineral water
D) Cranberry juice - ANSWER-A) Coffee
- Cola, coffee, and chocolate contain methylxanthine and
should be avoided by the client taking a methylxanthine
bronchodilator.
- The additional methylxanthine could lead to increased
incidence of cardiovascular and central nervous system side
effects.
,2|Page
A client taking albuterol by inhalation cannot cough up secretions.
What should the nurse suggest that the client do to assist in
expectoration of secretions?
A) Get more exercise each day.
B) Use a dehumidifier in the home.
C) Drink increased amounts of fluids every day.
D) Take an extra dose of albuterol before bedtime. - ANSWER-C)
Drink increased amounts of fluids every day.
- A client should drink increased fluids (2000 to 3000 mL/day)
to decrease viscosity and increase expectoration of
secretions.
- This is standard advice for clients receiving any of the
adrenergic bronchodilators, unless the client has another
health problem that contraindicates an increased fluid intake.
A client who has been receiving theophylline by the intravenous
(IV) route has the medication prescription changed to an
,3|Page
immediate-release oral form of the medication. After discontinuing
the IV medication, when should the nurse schedule the first dose
of the oral medication?
A) Just after the next meal
B) Just before the next meal
C) 4 hours after discontinuing the IV form
D) Immediately on discontinuing the IV form - ANSWER-C) 4
hours after discontinuing the IV form
- With immediate-release preparations, oral theophylline
should be administered 4 to 6 hours after discontinuing the
IV form of the medication.
- If the sustained-release form is used, the first oral dose
should be administered immediately on discontinuation of
the IV infusion.
A client with a prescription to take theophylline daily has been
given medication instructions by the nurse. What statement by the
, 4|Page
client indicates the need for further education regarding the
prescription?
A) "I will take the daily dose at bedtime."
B) "I need to drink at least 2 liters of fluid per day."
C) "I know to avoid changing brands of the medication without my
primary health care provider's approval."
D) "I'll avoid over-the-counter cough and cold medications unless
approved by my health care provider." - ANSWER-A) "I will take
the daily dose at bedtime."
- The client taking a single daily dose of theophylline, a
xanthine bronchodilator, should take the medication early in
the morning.
- This enables the client to have maximal benefit from the
medication during daytime activities.
- In addition, this medication causes insomnia.
