010-111 · Question #164
What effect should a bronchodilator have on your asthmatic client?
The correct answer is B. Decrease airway resistance. Bronchodilators work by relaxing bronchial smooth muscle, which widens the airways and decreases resistance to airflow in asthmatic clients.
Question
What effect should a bronchodilator have on your asthmatic client?
Options
- AIncrease airway resistance
- BDecrease airway resistance
- CDecrease blood pressure
- DIncrease blood pressure
How the community answered
(33 responses)- A18% (6)
- B70% (23)
- C3% (1)
- D9% (3)
Why each option
Bronchodilators work by relaxing bronchial smooth muscle, which widens the airways and decreases resistance to airflow in asthmatic clients.
Increasing airway resistance would worsen bronchoconstriction and exacerbate asthma symptoms, which is the opposite of the therapeutic intent of a bronchodilator.
Bronchodilators act on airway smooth muscle receptors (such as beta-2 adrenergic receptors) to cause relaxation and dilation of the bronchi and bronchioles. This dilation directly reduces airway resistance, allowing air to move more freely into and out of the lungs. In asthma, where bronchoconstriction is a hallmark feature, this effect relieves the obstruction and improves ventilation.
Decreasing blood pressure is not a primary or expected therapeutic effect of bronchodilators; their target is bronchial smooth muscle, not systemic vascular resistance.
Increasing blood pressure is not the intended effect of bronchodilators, and while some agents in this class can have minor cardiovascular side effects, this is not their therapeutic purpose.
Concept tested: Bronchodilator mechanism and effect on airway resistance
Source: https://www.nhlbi.nih.gov/health/asthma/treatment
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