A nurse is caring for a client brought to the health care facility for a drug overdose.
In which of the following cases can the client be administered an emetic?

Choice A rationale:

Emetics are medications that induce vomiting and are used in cases of drug overdose, ingestion of toxic substances, or other situations where rapid removal of the ingested substance is necessary. However, it is crucial that the client's mental status is intact and they can cooperate and understand the need to induce vomiting. If a client is unconscious or unable to protect their airway, inducing vomiting can lead to aspiration and further complications.

Choice B rationale:

Clients with existing severe hypertension should not be administered emetics, as the act of inducing vomiting can lead to a sudden increase in blood pressure, potentially causing adverse cardiovascular events.

Choice C rationale:

Clients with a medical history of convulsions (seizures) should not be given emetics. Inducing vomiting may lead to a convulsive episode, which can be harmful and increase the risk of aspiration.

Choice D rationale:

Clients with an existing condition of hemorrhagic diathesis (a tendency to bleed excessively) should not be administered emetics. Inducing vomiting can cause mucosal damage and bleeding in the gastrointestinal tract, further exacerbating the client's condition.