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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 ["C","E"]

Explanation

Choice A rationale

Glucose levels are not typically monitored for patients receiving gentamicin.

Choice B rationale

Prothrombin time is not typically monitored for patients receiving gentamicin.

Choice C rationale

Serum creatinine should be monitored because gentamicin can cause nephrotoxicity, and elevated serum creatinine levels can indicate kidney damage.

Choice D rationale

Cardiac enzymes are not typically monitored for patients receiving gentamicin.

Choice E rationale

WBC count should be monitored because gentamicin can cause leukopenia or other changes in white blood cell counts.

Correct Answer is B

Explanation

Choice A rationale

Crushing tadalafil is not recommended as it can alter the medication’s effectiveness and absorption. Tadalafil should be taken whole to ensure proper dosage and efficacy.

Choice B rationale

Tadalafil can decrease blood pressure by relaxing blood vessels, which allows for increased blood flow. This is a known effect of phosphodiesterase type 5 (PDE5) inhibitors like tadalafil.

Choice C rationale

Tadalafil should not be taken more than once a day. Taking it twice a day can increase the risk of side effects and is not recommended.

Choice D rationale

The effects of tadalafil can last up to 36 hours, not just 4 hours. This prolonged duration is one of the reasons it is preferred by some patients.

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