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":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"}}
Explanation
• Decreased sneezing: Diphenhydramine, an H1 receptor antagonist, reduces histamine-mediated symptoms of allergies, including sneezing. A decrease in sneezing demonstrates that the medication is effectively controlling the allergic response. This is a direct therapeutic effect of antihistamine administration.
• Tearing of the eyes: Persistent tearing is a symptom of allergic reactions and indicates that diphenhydramine is not fully alleviating the allergic response. Continued eye tearing does not reflect a therapeutic effect and may require adjunctive therapy.
• Presence of urticaria: The continued presence of urticaria (hives) indicates that the allergic reaction is ongoing. Diphenhydramine is intended to relieve urticaria, so its persistence shows that the medication has not yet achieved the desired therapeutic effect.
• Increased cough: An increase in coughing does not reflect the effectiveness of diphenhydramine, as cough is not a primary target symptom for this antihistamine unless histamine-mediated. Worsening cough suggests inadequate symptom control or another underlying cause.
Correct Answer is D
Explanation
A. Hold medication if heart rate is greater than 60 bpm: Beta-blockers are typically held if the heart rate is less than 60 bpm, not greater. Administering the medication when the heart rate is above 60 bpm is generally safe, so this instruction is inaccurate.
B. Report signs of liver damage, including dark-colored urine: While some medications can affect liver function, beta-blockers rarely cause liver toxicity. Monitoring for liver damage is not a standard teaching point for typical beta-blocker use unless the client has preexisting liver disease.
C. Stop taking this medication if you experience dizziness: Abruptly stopping beta-blockers can precipitate rebound hypertension or tachycardia, which can be dangerous. Clients should be instructed to notify their healthcare provider rather than independently discontinuing the medication.
D. Sexual dysfunction may occur with this medication: Beta-blockers can cause side effects such as erectile dysfunction or decreased libido. Educating the client about potential sexual side effects helps set expectations and encourages open discussion with the healthcare provider if symptoms develop.
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