The nurse is providing instruction about ipratropium (Atrovent) to a patient with COPD. Which is a common adverse effect that tends to resolve with therapy?

A. Dry mouth: Dry mouth is a common and expected side effect of inhaled anticholinergic medications like ipratropium. It typically resolves as the patient continues therapy or can be managed with frequent sips of water or sugar-free lozenges. B. Urine retention: Urinary retention is a less common and more serious adverse effect. It occurs primarily in patients with predisposing conditions such as benign prostatic hyperplasia and does not typically resolve without intervention. C. Anxiety: Anxiety is not a common adverse effect of ipratropium. If it occurs, it is likely related to the patient’s underlying condition or other medications rather than the inhaler itself. D. Tachycardia: Tachycardia is more commonly associated with beta-agonist bronchodilators, such as albuterol, rather than anticholinergic agents like ipratropium. It is not expected to occur frequently with Atrovent use.