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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

Monitoring calcium levels is not typically necessary for patients taking lisinopril, as it does not significantly affect calcium levels.

Choice B rationale

Sodium levels are not commonly affected by lisinopril, so routine monitoring is not required.

Choice C rationale

Lisinopril can cause hyperkalemia (high potassium levels), so monitoring potassium levels is crucial to prevent complications.

Choice D rationale

Magnesium levels are not significantly impacted by lisinopril, so routine monitoring is not necessary.

Correct Answer is C

Explanation

Choice A rationale

Incorrect packaging, such as a topical medication packaged as an oral medication, can lead to medication errors. However, it is not the most frequent cause of fatal medication errors. Packaging errors are relatively rare and usually caught before administration.

Choice B rationale

Delivery device problems, such as an infusion pump malfunction, can cause medication errors. These errors can be serious but are not the most frequent cause of fatal medication errors. Device malfunctions are often detected and corrected by healthcare professionals.

Choice C rationale

Name confusion between two medications with similar sounding names is the most frequent cause of fatal medication errors. This type of error occurs when medications with similar names are confused, leading to the administration of the wrong drug. This can have serious and sometimes fatal consequences.

Choice D rationale

Incorrect labeling of a medication dispensed by the pharmacy can lead to medication errors. While labeling errors are a significant concern, they are not the most frequent cause of fatal medication errors. These errors are often identified and corrected before administration.

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