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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From Exam
Ati Practice Assessment PN Pharmacology Online Practice 2023 B
50 Questions
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- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Pharmacology
- Answer Choices: 4