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?
“I hope this new medication won’t make my high blood pressure worse.”.
“I want to keep using my albuterol when I feel like I need it.”.
“I am allergic to atropine.”.
“I usually have a glass of red wine with dinner.”.
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 D
Explanation
Choice A rationale
Taking ibandronate immediately after a meal is incorrect because food and beverages can significantly decrease the absorption of ibandronate. It should be taken on an empty stomach at least 60 minutes before any food or drink.
Choice B rationale
Drinking 8 ounces of milk when taking ibandronate is incorrect because calcium in milk can interfere with the absorption of the medication. It should be taken with plain water only.
Choice C rationale
Taking ibandronate before bedtime is incorrect because the patient needs to remain upright for at least 60 minutes after taking the medication to prevent esophageal irritation.
Choice D rationale
Taking one tablet of ibandronate on the same date each month is correct. This ensures consistent dosing and helps maintain the medication’s effectiveness.