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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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View Related questions

Correct Answer is ["A","B","C","E"]

Explanation

Choice A rationale


Prednisone, a corticosteroid, can cause hypokalemia by increasing renal potassium excretion.


Choice B rationale


Torsemide, a loop diuretic, can lead to hypokalemia by promoting potassium loss through urine.


Choice C rationale


Polystyrene sulfonate is used to treat hyperkalemia, but it can cause hypokalemia as it removes potassium from the body.


Choice D rationale


A client taking spironolactone does not require monitoring for hypokalemia because spironolactone is a potassium-sparing diuretic. It helps the body retain potassium, so it is more likely to cause hyperkalemia (high potassium levels) than hypokalemia.


Choice E rationale


Hydrochlorothiazide, a thiazide diuretic, can cause hypokalemia by increasing potassium excretion in the urine.

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Potassium level should be reviewed because captopril can cause hyperkalemia due to its effect on aldosterone secretion.

Choice B rationale

WBC with differential should be reviewed because captopril can cause neutropenia or agranulocytosis, especially in patients with renal impairment or collagen vascular disease.

Choice C rationale

BUN level should be reviewed because captopril can affect renal function, leading to increased BUN levels.

Choice D rationale

Hemoglobin level is not typically affected by captopril, so it is not a priority for review.

Choice E rationale

Glucose level is not typically affected by captopril, so it is not a priority for review.

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