Author Question: A client with asthma is using ipratropium (Atrovent). What is the most appropriate teaching point ... (Read 78 times)

ahriuashd · **on:** Jul 24, 2018

A client with asthma is using ipratropium (Atrovent). What is the most appropriate teaching point for this client?

1. Limit outside activity.
2. Monitor serum glucose.
3. Increase outside activity.
4. Decrease fluid intake.

Question 2

When teaching a client about beta blockers, what should the nurse include in the teaching plan regarding what can occur with abrupt discontinuation?

1. Dry mouth and painful urination
2. Dizziness and coma
3. Chest pain and rebound hypertension
4. Cramping and constipation

mmpiza · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

Correct Answer: 1

Rationale 1: Instruction to limit outside activity should be given to the client because ipratropium (Atrovent) is an anticholinergic, and can therefore inhibit sweat gland secretions due to direct blockade of the muscarinic receptors on the sweat glands. By limiting outside activity, especially when the weather is hot, the client avoids possible heatstroke. Sweating is necessary for clients to cool down, so this inhibition of sweating can increase their risk for hypothermia.
Rationale 2: Monitoring serum glucose does not apply to this medication.
Rationale 3: Ipratropium (Atrovent) is an anticholinergic, and can therefore inhibit sweat gland secretions due to direct blockade of the muscarinic receptors on the sweat glands. By limiting outside activity, especially when the weather is hot, the client avoids possible heatstroke. Sweating is necessary for clients to cool down, so this inhibition of sweating can increase their risk for hypothermia.
Rationale 4: A client taking anticholinergics should increase fluid intake.

Global Rationale: Instruction to limit outside activity should be given to the client because ipratropium (Atrovent) is an anticholinergic, and can therefore inhibit sweat gland secretions due to direct blockade of the muscarinic receptors on the sweat glands. By limiting outside activity, especially when the weather is hot, the client avoids possible heatstroke. Sweating is necessary for clients to cool down, so this inhibition of sweating can increase their risk for hypothermia. Monitoring serum glucose does not apply to this medication. A client taking anticholinergics should increase fluid intake.

Answer to Question 2

Correct Answer: 3

Rationale 1: Dry mouth and painful urination are not signs and symptoms of beta blocker side effects or abrupt discontinuation.
Rationale 2: Dizziness and coma are not signs and symptoms of beta blocker side effects or abrupt discontinuation.
Rationale 3: Chest pain and rebound hypertension can be caused by withdrawal from some antihypertensive medications, which can cause a syndrome of apparent sympathetic hyperactivity, especially in beta blockers. Do not discontinue beta blockers abruptly, as this can result in chest pain or rebound hypertension.
Rationale 4: Cramping and constipation are not signs and symptoms of beta blocker side effects or abrupt discontinuation.

Global Rationale: Dry mouth and painful urination are not signs and symptoms of beta blocker side effects or abrupt discontinuation. Dizziness and coma are not signs and symptoms of beta blocker side effects or abrupt discontinuation. Chest pain and rebound hypertension can be caused by withdrawal from some antihypertensive medications, which can cause a syndrome of apparent sympathetic hyperactivity, especially in beta blockers. Do not discontinue beta blockers abruptly, as this can result in chest pain or rebound hypertension. Cramping and constipation are not signs and symptoms of beta blocker side effects or abrupt discontinuation.