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.”.

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 D

Explanation

Choice A rationale
Sucralfate should be taken on an empty stomach, not with meals, to ensure it coats the ulcer effectively.
Choice B rationale
There is no need to reduce dietary fiber while taking sucralfate. Fiber intake does not interfere with the medication’s effectiveness.
Choice C rationale
Antacids should not be taken within 30 minutes before or after taking sucralfate, as they can interfere with its action.
Choice D rationale
Increasing fluid intake is recommended while taking sucralfate to help prevent constipation, a common side effect of the medication.

A. “It is expected for your stools to be black while taking this medication.” B. “Take this medication with an antacid if you experience heartburn from the medication.” C. “Drinking orange juice with this medication decreases the absorption of the medication.” D. “You can take this medication with meals if you experience discomfort when taking it on an empty stomach.”

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

Here are the indications for each teaching statement:

“It is expected for your stools to be black while taking this medication.”
- Indicated: This is a common side effect of iron supplements like ferrous sulfate.
“Take this medication with an antacid if you experience heartburn from the medication.”
- Contraindicated: Antacids can interfere with the absorption of iron. It’s better to take the iron supplement with vitamin C or a source of vitamin C to enhance absorption.
“Drinking orange juice with this medication decreases the absorption of the medication.”
- Contraindicated: This statement is incorrect. Vitamin C, found in orange juice, actually enhances the absorption of iron.
“You can take this medication with meals if you experience discomfort when taking it on an empty stomach.”
- Indicated: Taking iron supplements with food can help reduce gastrointestinal discomfort, although it may slightly reduce absorption.

Teaching Statement	Indicated	Contraindicated
It is expected for your stools to be black while taking this medication.	✓
Take this medication with an antacid if you experience heartburn from the medication.		✓
Drinking orange juice with this medication decreases the absorption of the medication.		✓
You can take this medication with meals if you experience discomfort when taking it on an empty stomach.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a duodenal ulcer and is starting to take sucralfate. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is caring for a female client in a clinic. Exhibits A nurse is planning to provide teaching to the client about the new prescription. For each teaching statement made by the nurse, click to specify if the teaching statement is indicated or contraindicated for the client.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

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