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A client’s physician has prescribed theophylline (Theo- Dur) to help control the bronchospasm associated with the client’s COPD.

A client’s physician has prescribed theophylline (Theo- Dur) to help control the bronchospasm associated with the client’s COPD.

Instructions that should be given to the client include:
A . “Call your physician if you develop palpitations, dizziness, or restlessness.’’
B . “Cigarette smoking may significantly increase the risk for theophylline toxicity.’’
C . “Take this medication on an empty stomach.’’
D . “Do not take your medicine if your pulse is less than 60 beats per minute.’’

Answer: A

Explanation:

(A) Indications of theophylline toxicity include palpitations, dizziness, restlessness, nausea, vomiting, shakiness, and anorexia.

(B) Cigarette smoking significantly lowers theophylline plasma levels.

(C) Theophylline should be taken with food to decrease stomach upset.

(D) These instructions are appropriate for someone taking digoxin.

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