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A nurse is talking with a client who has a new prescription for an ipratropium inhaler to treat exercise-induced bronchospasm.

 

Which of the following client statements should the nurse report to the provider?

A.

“I hope this new medication won’t make my high blood pressure worse.”.

B.

“I want to keep using my albuterol when I feel like I need it.”.

C.

“I am allergic to atropine.”.

D.

“I usually have a glass of red wine with dinner.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale

 

Ipratropium inhalers can potentially increase heart rate and blood pressure, but this is not a common side effect. The concern about high blood pressure is valid but not as critical as an allergy to atropine.

 

Choice B rationale

 

Using albuterol with ipratropium is common practice for managing bronchospasm. There is no contraindication for using both medications together.

 

Choice C rationale

 

An allergy to atropine is significant because ipratropium is chemically related to atropine. This could lead to a severe allergic reaction.

 

Choice D rationale

 

There are no known interactions between ipratropium and alcohol. However, it is always best to consult with a healthcare provider regarding alcohol consumption while on medication.


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Correct Answer is C

Explanation

Choice A rationale

Ipratropium inhalers can potentially increase heart rate and blood pressure, but this is not a common side effect. The concern about high blood pressure is valid but not as critical as an allergy to atropine.

Choice B rationale

Using albuterol with ipratropium is common practice for managing bronchospasm. There is no contraindication for using both medications together.

Choice C rationale

An allergy to atropine is significant because ipratropium is chemically related to atropine. This could lead to a severe allergic reaction.

Choice D rationale

There are no known interactions between ipratropium and alcohol. However, it is always best to consult with a healthcare provider regarding alcohol consumption while on medication.

Correct Answer is D

Explanation

Choice A rationale

Limiting caffeine is not the first action the nurse should take. While caffeine can exacerbate symptoms of BPH, it is not the priority action when starting doxazosin IR3.

Choice B rationale

Reporting headaches is important, but it is not the first action the nurse should take. Headaches can be a side effect of doxazosin, but monitoring the patient’s initial response to the medication is more critical.

Choice C rationale

Measuring the client’s intake and output is important for monitoring urinary symptoms, but it is not the first action the nurse should take when starting doxazosin IR3.

Choice D rationale

Administering the medication at bedtime is the correct first action. Doxazosin can cause dizziness and hypotension, especially after the first dose, so taking it at bedtime can help minimize these effects.

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