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NCLEX-RN · Question #119

A dose of theophylline may need to be altered if a client with COPD:

The correct answer is D. Is concurrently on cimetidine for ulcers. (A) The effects of morphine or an allergic response to the drug will not affect theophylline (B) Xanthines are used cautiously in clients with severe cardiac disease, liver disease, cor pulmonale, hypertension, or hyperthyroidism. Arthritis does not influence the dosage of (C)…

Physiological Integrity: Pharmacological and Parenteral Therapies

Question

A dose of theophylline may need to be altered if a client with COPD:

Options

  • AIs allergic to morphine
  • BHas a history of arthritis
  • COperates machinery
  • DIs concurrently on cimetidine for ulcers

How the community answered

(41 responses)
  • A
    12% (5)
  • B
    7% (3)
  • C
    2% (1)
  • D
    78% (32)

Explanation

(A) The effects of morphine or an allergic response to the drug will not affect theophylline (B) Xanthines are used cautiously in clients with severe cardiac disease, liver disease, cor pulmonale, hypertension, or hyperthyroidism. Arthritis does not influence the dosage of (C) Theophylline does not cause sedation or drowsiness. Conversely, its side effects may be exhibited by central nervous system stimulation. (D) Cimetidine decreases theophylline clearance from the system and increases theophylline levels in the blood, thus increasing the risk of toxicity.

Topics

#theophylline drug interaction#cimetidine#COPD pharmacology#drug metabolism

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