The nurse provided discharge education to a client newly prescribed inhaled ipratropium. Which client statement indicates an understanding of the education?
"This medication is safe to take with my diagnosis of hypertension."
"I will take this medication during an acute asthma attack."
"If dry mouth occurs, I should stop taking this medication."
"A common side effect of this medication is urinary frequency."
The Correct Answer is A
A. "This medication is safe to take with my diagnosis of hypertension.": Ipratropium is an anticholinergic bronchodilator that does not significantly affect blood pressure. Clients with hypertension can safely use it to manage bronchospasm without increasing cardiovascular risk, reflecting correct understanding of the medication.
B. "I will take this medication during an acute asthma attack.": Ipratropium is not a first-line agent for acute asthma attacks. Short-acting beta-agonists like albuterol are preferred for rapid relief, as ipratropium has a slower onset and is more effective as maintenance therapy.
C. "If dry mouth occurs, I should stop taking this medication.": Dry mouth is a common, mild side effect of ipratropium and does not require discontinuation. Supportive measures like sipping fluids or using sugarless candy are appropriate rather than stopping therapy abruptly.
D. "A common side effect of this medication is urinary frequency.": Urinary retention, not frequency, is a potential side effect of anticholinergic medications. Increased urination is not typical, so this statement reflects a misunderstanding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The client reports a recent onset of muscle pain: Muscle pain or weakness (myalgia) is a known adverse effect of atorvastatin and can indicate a serious complication such as rhabdomyolysis. This finding requires immediate assessment and possible adjustment of the medication regimen.
B. The client's high-density lipoprotein (HDL) increased: An increase in HDL is a desired effect of atorvastatin therapy. This finding is beneficial and indicates that the medication is helping improve lipid profile and cardiovascular risk.
C. The client started taking oral contraceptive pills: While statins can slightly increase the hormone levels of birth control pills, this is a known interaction but not an immediate clinical "finding" that would be as concerning as potential muscle breakdown.
D. The client's blood pressure is 116/78 while sitting: This blood pressure reading is within normal limits for an adult. It does not indicate a concerning clinical finding in the context of atorvastatin therapy.
Correct Answer is D
Explanation
A. Improved mood: Montelukast is a leukotriene receptor antagonist used to manage asthma and allergic rhinitis. While mood changes have been reported as rare adverse effects, improvement in mood is not an indicator of therapeutic effectiveness.
B. Increased bronchodilation: Montelukast does not act as a direct bronchodilator. Its mechanism involves blocking leukotrienes to reduce inflammation and prevent bronchoconstriction, so immediate bronchodilation is not expected.
C. Reduced airflow: Reduced airflow indicates worsening airway obstruction, which suggests the drug is not achieving its intended therapeutic effect and may signal uncontrolled asthma.
D. Decreased wheezing: A decrease in wheezing reflects reduced airway inflammation and bronchoconstriction, indicating that montelukast is effectively managing the client’s asthma symptoms and improving respiratory function.
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