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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Free Nursing Study Resources

Correct Answer is C

Explanation

A. “Apply pressure to the IV site”: Applying pressure to the IV site is not the first action to take in the case of infiltration. Pressure might be applied after the IV has been removed to prevent further leakage of fluid, but it’s not the initial step.

B. “Slow the infusion rate”: Slowing the infusion rate is not the appropriate action when infiltration has occurred. The infusion should be stopped completely to prevent further infiltration and potential tissue damage.

C. “Elevate the extremity”: Elevating the extremity can help reduce swelling and discomfort caused by the infiltration. This should be done after the infusion has been stopped and the IV catheter has been removed.

D. “Flush the IV catheter”: Flushing the IV catheter is not appropriate when infiltration has occurred. Flushing could potentially worsen the infiltration and increase the risk of tissue damage. The IV catheter should be removed, and a new one should be inserted at a different site if IV access is still needed

A. Ginkgo biloba B. Zinc C. Calcium D. Vitamin C

Correct Answer is C

Explanation

A) Ginkgo biloba:
While there are potential interactions between ginkgo biloba and certain medications due to its effects on platelet function and blood flow, there are no specific interactions reported between ginkgo biloba and levothyroxine. However, it is always prudent to monitor for any adverse effects or interactions when combining medications and supplements.

B) Zinc:
Zinc supplements are not known to interfere with the absorption of levothyroxine. There are no specific recommendations to separate the administration of zinc supplements from levothyroxine. However, like with any supplement, it is essential to follow healthcare provider recommendations and monitor for any adverse effects.

C) Calcium:
Calcium supplements, particularly those containing calcium carbonate or calcium citrate, can interfere with the absorption of levothyroxine if taken simultaneously. Therefore, it is recommended to wait at least 4 hours after taking levothyroxine before consuming calcium supplements.

D) Vitamin C:
Vitamin C supplements are also not known to interfere significantly with the absorption of levothyroxine. There are no specific guidelines recommending a separation between the administration of vitamin C and levothyroxine. However, as with all supplements, it is essential to follow healthcare provider recommendations and monitor for any adverse effects.

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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

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Explanation

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