A nurse is talking with a client who has a new prescription for an ipratropium inhaler to treat exercise-induced bronchospasm. Which of the following client statements should the nurse report to the provider?

Choice A rationale Ipratropium inhalers can potentially increase heart rate and blood pressure, but this is not a common side effect. The concern about high blood pressure is valid but not as critical as an allergy to atropine. Choice B rationale Using albuterol with ipratropium is common practice for managing bronchospasm. There is no contraindication for using both medications together. Choice C rationale An allergy to atropine is significant because ipratropium is chemically related to atropine. This could lead to a severe allergic reaction. Choice D rationale There are no known interactions between ipratropium and alcohol. However, it is always best to consult with a healthcare provider regarding alcohol consumption while on medication.