An inpatient client with COPD has been diagnosed with allergic rhinitis and is given an antihistamine. What is a priority for the nurse when providing care to this client?
1. Keeping resuscitative equipment accessible
2. Premedicating with acetaminophen (Tylenol)
3. Consulting the physician before administering
4. Administering before client starts wheezing
Correct Answer: 1
Rationale 1: COPD clients on antihistamine therapy should be monitored, as the anticholinergic effects of antihistamines can trigger bronchospasm. Resuscitative equipment should always be accessible.
Rationale 2: Premedicating with acetaminophen, giving before the client starts wheezing, and consulting the physician for an ordered medication are not indicated.
Rationale 3: Premedicating with acetaminophen, giving before the client starts wheezing, and consulting the physician for an ordered medication are not indicated.
Rationale 4: Premedicating with acetaminophen, giving before the client starts wheezing, and consulting the physician for an ordered medication are not indicated.
Global Rationale: COPD clients on antihistamine therapy should be monitored, as the anticholinergic effects of antihistamines can trigger bronchospasm. Resuscitative equipment should always be accessible. Premedicating with acetaminophen, giving before the client starts wheezing, and consulting the physician for an ordered medication are not indicated.
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