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?

A. "I hope this new medication won't make my high blood pressure worse.": Ipratropium is an anticholinergic medication, and it does not typically affect blood pressure significantly. It is important for clients with hypertension to be monitored, but this concern is not an immediate reason to report to the provider. B. "I want to keep using my albuterol when I feel like I need it.": It is common for clients with exercise-induced bronchospasm to use albuterol for acute symptoms and ipratropium for prevention. There is no concern here unless the client is using it inappropriately or excessively. C. "I am allergic to atropine.": Ipratropium is an anticholinergic drug similar to atropine. If the client has an allergy to atropine, they may also react to ipratropium, and this could lead to serious side effects. This should be reported to the provider immediately. D. "I usually have a glass of red wine with dinner.": Moderate alcohol consumption does not directly affect the use of ipratropium. However, if the client experiences any interactions or side effects, this should be discussed, but it is not an immediate concern.