The physician has ordered ipratropium (Atrovent) for the client. What is a priority assessment question for the nurse to ask prior to administering this medication?
1. "Are you allergic to soy?"
2. "Do you have diabetes mellitus?"
3. "Do you have seizures?"
4. "Do you have gout?"
1
Rationale 1: Ipratropium (Atrovent) is contraindicated in patients with hypersensitivity to soy as soya lecithin is used as a propellant in the inhaler.
Rationale 2: Anticholinergic drugs do not impact glucose levels, so having diabetes mellitus is not a concern.
Rationale 3: Anticholinergic drugs do not affect seizure disorders; this is not a concern.
Rationale 4: Anticholinergic drugs are not contraindicated in clients with gout.
Global Rationale: Ipratropium (Atrovent) is contraindicated in patients with hypersensitivity to soy as soya lecithin is used as a propellant in the inhaler. Anticholinergic drugs do not impact glucose levels, so having diabetes mellitus is not a concern. Anticholinergic drugs do not affect seizure disorders; this is not a concern. Anticholinergic drugs are not contraindicated in clients with gout.
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