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

Glaucoma

Bronchospasms

Diverticulitis

Diarrhea

Answer and Explanation

The Correct Answer is A

A) Glaucoma: Atropine is contraindicated in clients with glaucoma due to its potential to exacerbate intraocular pressure. Glaucoma is a condition characterized by increased intraocular pressure, which can lead to optic nerve damage and vision loss if left untreated or if pressure is further increased. Atropine, as an anticholinergic medication, works by dilating the pupil and inhibiting accommodation, thereby increasing intraocular pressure. Administering atropine to a client with glaucoma can worsen their condition and potentially cause acute angle-closure glaucoma, which is a medical emergency. Therefore, it is essential to avoid using atropine in clients with glaucoma to prevent irreversible vision loss and other serious complications.

B) Bronchospasms: Atropine can be used to treat bronchospasms by dilating the bronchi and bronchioles, making it easier to breathe. While it may not be the first-line treatment for bronchospasms, it is not contraindicated in this condition. The bronchodilatory effects of atropine help relieve airway constriction and improve airflow, which can be beneficial in managing bronchospasms associated with conditions such as asthma or chronic obstructive pulmonary disease (COPD). Therefore, atropine can be considered as part of the treatment regimen for bronchospasms when indicated.

C) Diverticulitis: Atropine does not have any specific contraindications related to diverticulitis. However, caution should be exercised in clients with pre-existing gastrointestinal conditions due to potential anticholinergic effects, such as decreased gastrointestinal motility. While atropine can inhibit gastrointestinal motility and secretions, which may exacerbate symptoms in some individuals with diverticulitis, it is not considered a contraindication. The decision to use atropine in clients with diverticulitis should be based on the overall assessment of the client's condition and the potential benefits versus risks of treatment.

D) Diarrhea: Atropine can be used to treat diarrhea by reducing gastrointestinal motility and secretions. Therefore, it is not contraindicated in clients with diarrhea. By slowing down gastrointestinal motility and reducing secretions, atropine can help alleviate diarrhea and promote better bowel control. While other treatment options may be considered depending on the underlying cause of diarrhea, atropine can be effective in managing diarrhea associated with certain conditions or as part of a treatment regimen for specific gastrointestinal disorders.

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Correct Answer is ["324"]

Explanation

Here’s the calculation to find the filgrastim dosage the nurse should administer per day:

Client weight conversion:

We need the weight in kilograms (kg) for dosage calculation.

Conversion factor: 1 kg = 2.205 pounds

Client weight (kg) = 143 lb / 2.205 lb/kg = 64.86 kg (round to two decimal places for accuracy)

Dosage calculation:

Prescribed dosage: 5 mcg/kg/day

Client weight (kg): 64.86 kg (rounded value from step 1)

Daily filgrastim dose (mcg) = Dosage (mcg/kg/day) x Client weight (kg)

Daily filgrastim dose (mcg) = 5 mcg/kg/day * 64.86 kg = 324.3 mcg (round to nearest whole number as requested)

Therefore, the nurse should administer approximately 324 mcg of filgrastim per day.

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

Correct Answer is C

Explanation

A) A child who recently received the human papillomavirus vaccine: There is no contraindication for administering the varicella vaccine to a child who recently received the human papillomavirus vaccine. These vaccines target different viruses and can typically be given concurrently without issue.

B) An older adult client living in a long-term care facility: Older adults living in long-term care facilities are at increased risk of complications from varicella infection and are, therefore, recommended to receive the varicella vaccine unless contraindicated due to specific health conditions.

C) A client who has AIDS: Clients with AIDS or other severe immunosuppressive conditions should not receive live virus vaccines like the varicella vaccine due to the risk of vaccine-induced disease. These individuals may have compromised immune systems, increasing the risk of adverse reactions or inadequate immune response to the vaccine.

D) A young adult who has an allergy to eggs: While some vaccines, including the varicella vaccine, are grown in eggs, having an allergy to eggs is not an absolute contraindication for receiving the vaccine. Most individuals with egg allergies can safely receive the varicella vaccine under medical supervision, as the risk of an allergic reaction is low.

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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

A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["324"]

Explanation

A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify which of the following clients as having a contraindication for receiving this immunization?

Correct Answer is C

Explanation

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