The nurse is teaching a client about the actions of an intranasal inhaler containing ipratropium (Atrovent). Which statement by the nurse is most accurate?
1. "You will notice a decrease in nasal secretions."
2. "You will notice you are not sneezing as much."
3. "You will not have as much postnasal drip."
4. "Your throat won't feel so scratchy."
Correct Answer: 1
Rationale 1: Intranasal ipratropium (Atrovent) decreases nasal secretions.
Rationale 2: Intranasal ipratropium (Atrovent) does not decrease sneezing.
Rationale 3: Intranasal ipratropium (Atrovent) does not decrease postnasal drip.
Rationale 4: Intranasal ipratropium (Atrovent) has no effect on a scratchy throat.
Global Rationale: Ipratropium (Atrovent) nasal spray is an anticholinergic drug indicated for the symptomatic relief of runny nose (rhinorrhea) associated with seasonal allergic rhinitis or the common cold. Its actions are limited to decreasing nasal secretions; it does not stop the sneezing, postnasal drip, or itchy throat or eyes characteristic of allergic rhinitis or the common cold.
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