a nurse is teaching a client who has a new prescription for ipratropium which of the following instructions should the nurse include

ATI RN

ATI Pharmacology Test Bank

1. When teaching a client with a new prescription for Ipratropium, which of the following instructions should the nurse include?

A. This medication can be used as a rescue inhaler.
B. This medication should be taken before albuterol.
C. Wait 5 minutes between medications if two inhaled medications are prescribed.
D. Ipratropium can be used before exercise.

Correct answer: C

Rationale: When two inhaled medications are prescribed, waiting 5 minutes between medications allows for optimal absorption and effectiveness of each medication. This ensures that each medication can work properly without interference from the other, improving the client's respiratory condition.

2. What is the action of Metformin?

A. Decreasing intestinal glucose absorption
B. Increasing sensitivity to insulin
C. Decreasing hepatic glucose production
D. All of the above

Correct answer: D

Rationale: Metformin exerts its effects by decreasing hepatic glucose production, increasing sensitivity to insulin, and decreasing intestinal glucose absorption. These actions help in lowering blood glucose levels and improving insulin sensitivity in individuals with diabetes.

3. What is a desired outcome of the drug Phenytoin?

A. Decrease symptoms of PTSD
B. Resolution of signs of infection
C. Decrease or cessation of seizures without excessive sedation
D. Prevention or relief of bronchospasm

Correct answer: C

Rationale: The correct answer is C: Decrease or cessation of seizures without excessive sedation. Phenytoin is primarily used as an antiepileptic medication to manage and prevent seizures. It does not directly impact symptoms of PTSD (Choice A), resolution of signs of infection (Choice B), or prevention or relief of bronchospasm (Choice D). Therefore, the desired outcome of Phenytoin is to control seizures effectively while avoiding excessive sedation.

4. A client who has been taking prednisone to treat asthma is advised to discontinue the medication. The client should be instructed to reduce the dose gradually to prevent which of the following adverse effects?

A. Hyperglycemia
B. Adrenocortical insufficiency
C. Severe dehydration
D. Rebound pulmonary congestion

Correct answer: B

Rationale: Abruptly stopping prednisone can result in adrenocortical insufficiency due to suppression of the adrenal glands. Gradually tapering the dose helps the body adjust and resume its natural cortisol production, preventing adrenal insufficiency. Choice A, hyperglycemia, is a possible adverse effect of prednisone, but it is not the primary reason for gradual tapering. Severe dehydration (Choice C) and rebound pulmonary congestion (Choice D) are not typically associated with discontinuing prednisone.

5. A healthcare professional is monitoring a client who is receiving spironolactone. Which of the following findings should the professional report to the provider?

A. Serum Sodium 144 mEq/L
B. Urine output 120 mL in 4 hours
C. Serum Potassium 5.2 mEq/L
D. Blood Pressure 140/90 mm Hg

Correct answer: C

Rationale: A serum potassium level of 5.2 mEq/L indicates hyperkalemia, which is a potentially dangerous condition. Spironolactone, a potassium-sparing diuretic, can cause potassium retention, leading to hyperkalemia. This electrolyte imbalance can result in serious consequences such as cardiac dysrhythmias. The healthcare professional should promptly report this finding to the provider, withhold the medication, and take appropriate actions to prevent complications. Monitoring and managing potassium levels are crucial in clients receiving spironolactone. The other options do not directly relate to the potential adverse effects of spironolactone and are within normal limits, making them less urgent to report.