A nurse is reviewing a client's medical history before administering a new prescription for atropine. Which of the following client conditions is contraindicated?

Bronchospasms

Glaucoma

Diverticulitis

Diarrhea

Answer and Explanation

The Correct Answer is B

A) Bronchospasms: Atropine is not contraindicated in clients with bronchospasms. In fact, it can be used to treat bronchospasms associated with conditions like asthma or chronic obstructive pulmonary disease (COPD) by dilating the airways. Therefore, bronchospasms would not preclude the administration of atropine.

B) Glaucoma: This is the correct answer. Atropine is contraindicated in clients with glaucoma. Glaucoma is a condition characterized by increased intraocular pressure, which can lead to optic nerve damage and vision loss. Atropine works by dilating the pupils and can further increase intraocular pressure, exacerbating the condition and potentially causing harm to the client's vision. Therefore, atropine should be avoided in clients with glaucoma.

C) Diverticulitis: Atropine is not contraindicated in clients with diverticulitis. In fact, it can be used to treat symptoms of diverticulitis, such as abdominal cramping, by reducing gastrointestinal motility and spasm. Therefore, diverticulitis would not preclude the administration of atropine.

D) Diarrhea: Atropine can be used to treat diarrhea by reducing gastrointestinal motility and secretions. Therefore, diarrhea would not be a contraindication to administering atropine. In fact, atropine can be included in medications used to manage diarrhea, especially if it's associated with increased gastrointestinal motility.

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Correct Answer is A

Explanation

A. “The client will wear his reading glasses when drawing up a dose of insulin glargine”: This is an appropriate outcome. Ensuring correct dosage is crucial when administering insulin, and using reading glasses can help prevent errors, especially in older adults who may have vision impairment.

B. “The client will take an additional dose of insulin glargine prior to exercise”: This is not recommended. Insulin glargine is a long-acting insulin and its dose should not be adjusted based on exercise. Exercise can lower blood glucose levels, and taking an additional dose of insulin might lead to hypoglycemia.

C. “The client will administer insulin glargine before each meal”: Insulin glargine is a long-acting insulin that is typically administered once daily, not before each meal. Short-acting insulins are usually taken before meals.

D. “The client will use the deltoid muscle as an injection site”: Insulin is typically injected into subcutaneous tissue, not muscle. Common injection sites include the abdomen, thighs, buttocks, and the back of the upper arms. The deltoid muscle is not a typical injection site for insulin.

A. A young adult who has an allergy to eggs B. An older adult client living in a long-term care facility C. A child who recently received the human papillomavirus vaccine D. A client who has AIDS

Correct Answer is D

Explanation

Answer: D. A client who has AIDS

A. A young adult who has an allergy to eggs
An egg allergy is not a contraindication for the varicella vaccine. The varicella vaccine is not produced using eggs, so an allergy to eggs does not pose a risk to clients receiving this immunization.

B. An older adult client living in a long-term care facility
An older adult in a long-term care facility can typically receive the varicella vaccine unless they have specific contraindications (e.g., immunosuppression). Age alone or residence in a long-term care facility is not a contraindication for the vaccine.

C. A child who recently received the human papillomavirus vaccine
Receiving the HPV vaccine does not contraindicate the varicella vaccine. Multiple vaccines can be administered in close succession or even on the same day, as long as the vaccines are indicated and there are no other contraindications.

D. A client who has AIDS
A client with AIDS has a compromised immune system due to the significant reduction in CD4 cell counts. The varicella vaccine is a live attenuated vaccine, and live vaccines are generally contraindicated for individuals with severe immunosuppression, such as those with AIDS, due to the risk of causing infection in immunocompromised individuals. Therefore, the nurse should not administer the varicella vaccine to a client with AIDS.

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A nurse is reviewing a client's medical history before administering a new prescription for atropine. Which of the following client conditions is contraindicated?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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