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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 B

Explanation

Choice A rationale

Repeating up to four doses until pain is relieved is incorrect. The correct instruction is to take one tablet at the onset of pain and repeat every 5 minutes if needed, up to a maximum of three tablets in 15 minutes.

Choice B rationale

Storing unused tablets at room temperature is correct. Nitroglycerin tablets should be stored in their original container at room temperature, away from moisture and heat.

Choice C rationale

Taking two tablets at the onset of pain is incorrect. The correct instruction is to take one tablet at the onset of pain and repeat every 5 minutes if needed, up to a maximum of three tablets in 15 minutes.

Choice D rationale

Taking the medication two hours prior to exercise is incorrect. Nitroglycerin should be taken 5 to 10 minutes before an activity that may cause chest pain.

Correct Answer is D

Explanation

Choice A rationale

Folic acid is not primarily used to stimulate the immune system. Its main role is in the production of red blood cells and DNA synthesis.

Choice B rationale

Folic acid does not increase the absorption of other medications. It is used to prevent and treat folate deficiency.

Choice C rationale

Folic acid is not used to treat benign prostatic hyperplasia. It is important for cell growth and the production of red blood cells.

Choice D rationale

Folic acid is crucial for the building of blood cells and is especially important during periods of rapid cell division, such as pregnancy.

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