A client taking ipratropium (Atrovent) tells the nurse she is ...

[Cooldude101]

A client taking ipratropium (Atrovent) tells the nurse she is going to stop it because of the bitter taste in her mouth after using the medication. Which of the following should the nurse respond to this client?
 
  1. That is a good idea; you are experiencing a serious side effect..
   2. You can decrease that side effect by rinsing your mouth after use..
   3. That is a common side effect; it will go away in time..
   4. Are you sure you are using the medication properly?

Question 2

As a result of a client's extreme anxiety and concern about delusional and hallucinatory phenomena, the nurse plans care because the client is at risk for which of the following? (Select all that apply.)
 
  1. High nighttime levels of melatonin
   2. Circadian cycle disruption
   3. REM rebound
   4. Reduced REM sleep
   5. Great difficulty getting to sleep

[vickybb89]

Answer to Question 1

2. You can decrease that side effect by rinsing your mouth after use..

Rationale:
Ipratropium (Atrovent) produces a bitter taste, which may be relieved by rinsing the mouth after use. The client is not experiencing a serious side effect; there is no need to stop the medication. The bitter taste will not go away in time; the client must rinse her mouth. Asking how the client uses the medication may be a good option, but not with the common side effect of bitter taste.

Answer to Question 2

2. Circadian cycle disruption
4. Reduced REM sleep
5. Great difficulty getting to sleep

Rationale:
This client is displaying schizophrenia symptoms and may have circadian cycle disruption, reduced REM sleep, and difficulty getting to sleep. This client may have low nighttime levels of melatonin. This client will not experience REM rebound.