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
Diarrhea
Glaucoma
Diverticulitis
The Correct Answer is C
A. Bronchospasms are not a contraindication for atropine. In fact, atropine can be used to treat bronchospasms in certain situations because it helps to relax the airways.
B. Diarrhea is not a contraindication for atropine. Atropine can actually be used to treat diarrhea by reducing gastrointestinal motility.
C. Glaucoma is a contraindication for atropine. Atropine can increase intraocular pressure, which can worsen glaucoma and potentially lead to vision loss.
D. Diverticulitis is not a contraindication for atropine. Atropine does not have a direct effect on diverticulitis.
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Related Questions
Correct Answer is D
Explanation
A. Store the medication for the client’s next dose. This action is incorrect because storing a partially used vial of morphine can lead to contamination and is not standard practice for controlled substances.
B. Discard the medication in a sharps container. This action is incorrect because sharps containers are intended for needles and other sharp objects, not for liquid medications.
C. Return the medication to the pharmacy. This action is not typically required for small amounts of unused medication. The proper disposal method should be followed instead.
D. Dispose of the medication as waste in an approved receptacle. This action is correct. Unused portions of controlled substances like morphine should be disposed of according to facility policy, often involving a witness to ensure proper disposal and prevent misuse.
Correct Answer is B
Explanation
A. PTT (partial thromboplastin time) is used to monitor heparin therapy, not warfarin. It measures the intrinsic pathway of coagulation.
B. PT (prothrombin time) is the correct test to review before administering warfarin. PT measures the extrinsic pathway of coagulation and is used to calculate the INR (International Normalized Ratio), which helps monitor and adjust warfarin dosage to ensure therapeutic levels and prevent complications.
C. Total iron-binding capacity is a measure of iron status and is not relevant to warfarin therapy.
D. WBC (white blood cell count) is important for assessing infection or immune status but is not directly related to monitoring warfarin therapy.
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