The nurse is providing discharge instructions for a client who has a new prescription for an Ipratropium bromide inhaler. Which of the following client statements indicates understanding of the common side effects of this medication?
"I will rinse my mouth after each dose to prevent thrush."
"I will use this medication early in the morning so I am not urinating al-night."
"I will make sure to use this in combination with a corticosteroid inhaler."
“I will suck on hard candies to cope with dry mouth."
The Correct Answer is D
A. "I will rinse my mouth after each dose to prevent thrush." Ipratropium bromide is an anticholinergic bronchodilator, and it does not typically increase the risk of oral thrush. Rinsing the mouth after use is more commonly recommended with corticosteroid inhalers.
B. "I will use this medication early in the morning so I am not urinating all night." Ipratropium bromide does not significantly affect urination or the frequency of urination, as it primarily targets the respiratory system.
C. "I will make sure to use this in combination with a corticosteroid inhaler." Although it may be used in combination with corticosteroids, this is not specific to Ipratropium's side effects. This answer does not directly address side effect management.
D. "I will suck on hard candies to cope with dry mouth." A common side effect of Ipratropium bromide is dry mouth due to its anticholinergic properties. Sucking on hard candies is an appropriate way to manage this side effect.
Free Nursing Test Bank
- Free Pharmacology Quiz 1
- Free Medical-Surgical Quiz 2
- Free Fundamentals Quiz 3
- Free Maternal-Newborn Quiz 4
- Free Anatomy and Physiology Quiz 5
- Free Obstetrics and Pediatrics Quiz 6
- Free Fluid and Electrolytes Quiz 7
- Free Community Health Quiz 8
- Free Promoting Health across the Lifespan Quiz 9
- Free Multidimensional Care Quiz 10
View Related questions
Correct Answer is B
Explanation
A. Respiratory distress syndrome occurs in babies with frequent colds. This statement is inaccurate; respiratory distress syndrome (RDS) is not associated with frequent colds.
B. Respiratory distress syndrome occurs in premature and low-birth-weight babies. This statement accurately describes RDS, as it is primarily seen in premature infants due to insufficient surfactant production.
C. Respiratory distress syndrome occurs in babies with genetic allergies. RDS is not directly related to genetic allergies; it is a condition primarily linked to prematurity and lung maturity.
D. Respiratory distress syndrome occurs in babies stressed during the pregnancy. While stress during pregnancy can affect outcomes, RDS is specifically associated with lung development in premature infants rather than stress alone.
Correct Answer is D
Explanation
A. Increase fluids to 1L/per day. Clients with emphysema are often encouraged to increase fluid intake beyond 1 liter to help thin secretions, but 1 liter per day is generally insufficient.
B. Administer the medication with food. Theophylline should not necessarily be taken with food; it is generally taken on an empty stomach, but it can be taken with food if gastrointestinal upset occurs.
C. Consume a high-protein diet. High-protein diets may increase the metabolism of theophylline, potentially decreasing its therapeutic effect. Dietary considerations for theophylline involve avoiding caffeine.
D. Avoid caffeine while taking this medication. Theophylline is a methylxanthine, similar to caffeine, and consuming caffeine can increase the risk of side effects like tachycardia, nervousness, and insomnia.