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 D

Explanation

A. “Heart rate”: While it’s important to monitor the heart rate of a client who has received naloxone, it’s not the first assessment that should be made. Opioid toxicity can lead to life-threatening respiratory depression, so the priority is to assess the client’s respiratory status.

B. “Pain level”: Pain level is an important consideration when administering any medication, but it’s not the first assessment to be made following naloxone administration. The priority is to assess the client’s respiratory status, as opioid toxicity can cause life-threatening respiratory depression.

C. “Blood pressure”: Monitoring blood pressure is important in any client receiving medication, but it’s not the first assessment to be made following naloxone administration. The priority is to assess the client’s respiratory status, as opioid toxicity can cause life-threatening respiratory depression.

D. “Breath sounds”: This is the correct answer. The primary risk with opioid toxicity is respiratory depression, which can be life-threatening. Naloxone is administered to reverse this effect. Therefore, the nurse should first assess breath sounds to determine if the client’s respiratory status is improving.

A. Give diphenhydramine IM. B. Administer epinephrine IM. C. Replace the infusion with 0.9% sodium chloride. D. Elevate the client's legs and feet.

Correct Answer is B

Explanation

A. “Give diphenhydramine IM”: While diphenhydramine, an antihistamine, can be used in the treatment of allergic reactions, it is not the first-line treatment for anaphylaxis. Anaphylaxis is a severe, potentially life-threatening allergic reaction that requires immediate treatment with epinephrine.

B. “Administer epinephrine IM”: Epinephrine is the first-line treatment for anaphylaxis. It works rapidly to reverse the life-threatening symptoms of anaphylaxis, including airway swelling and severe low blood pressure. Therefore, after stopping the medication infusion and assessing the client’s respiratory status, the nurse should administer epinephrine IM.

C. “Replace the infusion with 0.9% sodium chloride”: While replacing the infusion with 0.9% sodium chloride (normal saline) can help maintain venous access and hydration, it is not the immediate priority in the treatment of anaphylaxis. The first priority is to administer epinephrine.

D. “Elevate the client’s legs and feet”: Elevating the client’s legs and feet can help improve blood flow and may be beneficial in the treatment of anaphylaxis. However, it is not the immediate priority. The first priority is to administer epinephrine. After administering epinephrine and ensuring the client’s airway is open, the nurse can then take measures to make the client more comfortable, such as elevating the legs and feet.

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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 D

Explanation

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Correct Answer is B

Explanation

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