The nurse is providing instruction about ipratropium (Atrovent) to a patient with COPD. Which is a common adverse effect that tends to resolve with therapy?
Dry mouth
Anxiety
Tachycardia
Urine retention
The Correct Answer is A
A. Dry mouth
Dry mouth is a common adverse effect of ipratropium (Atrovent) due to its anticholinergic properties. Anticholinergic medications can inhibit saliva production, leading to a sensation of dryness in the mouth. While uncomfortable, dry mouth tends to improve over time as the body adjusts to the medication. Patients can manage dry mouth by increasing fluid intake and practicing good oral hygiene.
B. Anxiety
Anxiety is not a common adverse effect of ipratropium (Atrovent). While some individuals may experience anxiety as a side effect of certain medications, it is not typically associated with ipratropium. If a patient experiences anxiety while taking ipratropium, it is essential to assess whether it may be related to other factors or medications and to consult a healthcare provider for appropriate management.
C. Tachycardia
Tachycardia (rapid heart rate) is not a common adverse effect of ipratropium (Atrovent). While ipratropium is an anticholinergic medication that can affect heart rate in some individuals, tachycardia is not typically reported as a common side effect. However, patients should be monitored for changes in heart rate and other cardiovascular effects while taking ipratropium, especially if they have pre-existing cardiac conditions.
D. Urine retention
Urinary retention is a potential adverse effect of ipratropium (Atrovent) due to its anticholinergic properties. Anticholinergic medications can relax the smooth muscle of the bladder, leading to difficulty emptying the bladder completely. However, urinary retention is less common with ipratropium compared to other anticholinergic medications, such as those used to treat overactive bladder. Patients experiencing urinary retention while taking ipratropium should consult their healthcare provider for further evaluation and management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Nausea
While nausea can occur in hypoxia, it is less common compared to other symptoms such as dyspnea (difficulty breathing), confusion, or cyanosis (bluish discoloration of the skin and mucous membranes).
B. Dysphagia
Dysphagia, or difficulty swallowing, is not typically associated with hypoxia. It is more commonly seen in conditions affecting the esophagus or neurological disorders affecting swallowing function.
C. Agitation
Manifestations of hypoxia can vary depending on the severity and duration of oxygen deprivation. Agitation is a common finding in hypoxia, particularly in cases of acute or severe hypoxemia. As the body's oxygen supply becomes compromised, the brain may perceive this as a threat, leading to increased anxiety, restlessness, and agitation as the body attempts to compensate for the lack of oxygen.
D. Warm, dry skin
Warm, dry skin is not a typical finding in hypoxia. Instead, hypoxia may lead to peripheral vasoconstriction and cool, clammy skin as the body attempts to conserve oxygen and maintain core body temperature.
Correct Answer is B
Explanation
A. Facial flushing
Facial flushing is not typically associated with atelectasis. Instead, it may occur in conditions such as oxygen toxicity or fever.
B. Increasing dyspnea
Atelectasis is a condition characterized by the collapse or partial collapse of a portion of the lung. Common findings in a client with atelectasis include increasing dyspnea (shortness of breath) due to impaired gas exchange and reduced lung function. As the affected lung tissue collapses, ventilation and oxygenation are compromised, leading to difficulty breathing.
C. Decreasing respiratory rate
A decreasing respiratory rate is not typically observed in a client with atelectasis. Instead, respiratory rate may increase as the body attempts to compensate for the impaired gas exchange and oxygenation resulting from lung collapse.
D. Dry cough
While coughing is a common symptom of atelectasis, it is typically associated with a productive cough rather than a dry cough. A dry cough is more commonly associated with conditions such as viral respiratory infections or allergic reactions. In atelectasis, the cough may be productive as the body attempts to clear mucus or other secretions from the affected airways.
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