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Practice Question

A nurse is reinforcing teaching with a client who has a new prescription for theophylline. The nurse should instruct the client that which of the following is an expected outcome of this medication?

Answer Choices:

Correct Answer:

Dilates bronchioles

Rationale:

🟦 Theophylline is a bronchodilator in the methylxanthine class, and its primary therapeutic effect is bronchial smooth muscle relaxation, which leads to bronchodilation.

🟦 This opens narrowed airways and improves airflow for clients with asthma, COPD, or other chronic respiratory conditions.

🟦 By reducing airway resistance, theophylline helps decrease work of breathing and improves oxygenation.

🟦 The medication works through phosphodiesterase inhibition, increasing cyclic AMP to maintain bronchodilation.

🟦 While it has mild anti-inflammatory properties, its main purpose remains airway dilation, not secretion thinning or leukotriene modification.

🟦 Teaching should emphasize expected breathing improvement, as well as monitoring for toxicity due to its narrow therapeutic range.

Reduces inflammation

🟦 Theophylline is not a primary anti-inflammatory medication; corticosteroids perform this function.

🟦 It cannot be relied upon to control airway inflammation in asthma.

Loosens secretions

🟦 Loosening mucus is the action of expectorants or mucolytics, not theophylline.

🟦 Theophylline does not modify mucus viscosity.

Blocks leukotrienes

🟦 This action describes leukotriene modifiers such as montelukast, not theophylline.

🟦 Theophylline does not affect leukotriene pathways.

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This question is from Ati Practice Assessment PN Pharmacology Online Practice 2023 B which contains 50 questions.

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Ati Practice Assessment PN Pharmacology Online Practice 2023 B

50 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN ATI Exams
  • Domain: Pharmacology
  • Answer Choices: 4
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