A patient with chronic obstructive pulmonary disease receives a new prescription for oral theophylline. Which symptom suggests possible toxicity and requires prompt reporting?

Correct answer: B. Tremor with repeated vomiting

  • A. Mild dry mouth after a dose
  • B. Tremor with repeated vomiting
  • C. Occasional clear sputum production
  • D. Slight increase in exercise tolerance

Explanation

Theophylline toxicity may cause nausea, vomiting, tremor, agitation, tachycardia and serious dysrhythmias. Dry mouth is more typical of inhaled anticholinergic medicines, while improved exercise tolerance is a desired response.

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Covers nursing assessment and management of asthma, chronic obstructive pulmonary disease, pneumonia, tuberculosis, pleural disorders and respiratory failure. Key areas include breath sounds, oxygen therapy, airway suctioning, inhaled medicines, arterial blood gases and the difference between hypoxia, hypoxemia and carbon dioxide retention.

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