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Question Analysis: Emphysema

The nurse has administered aminophylline to a client with emphysema. The medication is effective when there is:

❍ A. Relief from spasms of the diaphragm
❍ B. Relaxation of smooth muscles in the bronchioles
❍ C. Efficient pulmonary circulation
❍ D. Stimulation of the medullary respiratory center

Don't panic because this is a medication you don't know. For this question, you do NOT need to know how the medication works.

Crazy, right? But you don't.

Question interpretation: How can I tell that the medication I gave to treat emphysema worked?

Pretty much the only thing you have to know is what on earth emphysema is. Emphysema is a lung disorder characterized by overinflated alveoli and being unable to get enough oxygen in through the airway. It also involves retaining CO2.

Correct answer: B

Let's look at our answer choices. Answer A talks about relief from spasms of the diaphragm, but this is not a disease that has to do with the diaphragm. That won't solve the patient's problem (which is with the inherent lung tissue). B is the correct answer because we want the smooth muscle of the bronchioles to relax in order to be able to draw in more air and more oxygen content. There is no problem with the pulmonary circulation (C) nor with the medullary respiratory center (D, neuro stuff), so those can't be right. B is the only answer that makes sense.

Remember to get all the info out of the question possible. That's what makes this question very doable even if you know nothing about aminophylline. But it is worth knowing about, so check it out here

If you used NCLEX Simplified as a resource, you would know all about this medication! It's on page 40!

Did you get the question right via a different thought process? Let us know what you were thinking below.

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