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
The Correct Answer is B
A) Bronchospasms:
Atropine can be used to treat bronchospasms by dilating the bronchi and bronchioles, thereby increasing airflow to the lungs. It is not contraindicated in clients with bronchospasms.
B) Glaucoma:
Correct. Atropine is contraindicated in clients with glaucoma. Atropine can cause pupillary dilation (mydriasis) and increase intraocular pressure, which can worsen the symptoms of glaucoma and potentially lead to vision loss.
C) Diverticulitis:
Atropine is not contraindicated in clients with diverticulitis. Diverticulitis is inflammation or infection of small pouches (diverticula) that can develop in the walls of the intestines. Atropine can be used to treat various gastrointestinal conditions, including irritable bowel syndrome and diverticulitis, by reducing gastrointestinal motility.
D) Diarrhea:
Atropine can be used to treat diarrhea by slowing gastrointestinal motility and reducing gastrointestinal secretions. It is not contraindicated in clients with diarrhea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Answer: A. Melena
Rationale:
A. Melena:
Melena, which is the passage of dark, tarry stools, indicates upper gastrointestinal bleeding. In a client taking warfarin, this finding is particularly concerning as it suggests a significant risk for hemorrhage. The priority is to report this to the healthcare provider immediately, as it may require urgent intervention, including possibly adjusting the warfarin dosage or initiating treatment for bleeding.
B. Abdominal cramping:
While abdominal cramping can be a side effect of various conditions and may indicate gastrointestinal distress, it is not as critical as melena in the context of a client on warfarin. Further evaluation may be warranted, but it does not pose an immediate risk like melena.
C. Fever:
A fever could indicate an infection or an inflammatory process, but in the context of a client on warfarin, it is not a direct indicator of a serious adverse effect related to anticoagulation. Monitoring is necessary, but it does not require immediate reporting compared to signs of bleeding.
D. Hair loss:
Hair loss is a potential side effect of many medications, including warfarin, but it is generally not life-threatening or indicative of a severe complication. While it may warrant discussion with the provider for management, it does not require urgent attention like melena does.
Correct Answer is C
Explanation
A. “Diarrhea”: While diarrhea can be a side effect of many medications, it is not typically associated with an interaction between phenelzine and aged cheese.
B. “Somnolence”: Somnolence, or drowsiness, is not typically associated with an interaction between phenelzine and aged cheese.
C. “Hypertension”: Phenelzine is a monoamine oxidase inhibitor (MAOI). When combined with tyramine-rich foods like aged cheese, it can lead to a hypertensive crisis, a severe increase in blood pressure that can be life-threatening. Therefore, hypertension is a manifestation of an interaction between the medication and the food.
D. “Bradycardia”: Bradycardia, or a slow heart rate, is not typically associated with an interaction between phenelzine and aged cheese.
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