James is a 52-year-old overweight smoker taking theophylline for his persistent asthma.He tells his provider he is going to start the Atkin's diet for weight loss.The appropriate response would be:

Question

Quizplus · Accepted Answer

The Atkin's diet is a high-protein, low-carbohydrate diet that may increase the excretion of theophylline, potentially leading to subtherapeutic levels. Therefore, scheduling regular serum theophylline levels during the diet is recommended to ensure therapeutic levels are maintained. Congratulating him on making a positive change in his life is appropriate, but that alone does not address the potential impact of the diet on theophylline levels. Recommending smoking cessation is also important but not directly related to his question about the Atkin's diet. Decreasing his theophylline dose without monitoring serum levels could lower the therapeutic range or lead to toxicity.

James Is a 52-Year-Old Overweight Smoker Taking Theophylline for His