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

Answer and Explanation

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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Correct Answer is D

Explanation

A. Decreased urine output. This finding is not an indicator of theophylline effectiveness. Theophylline is used to treat respiratory conditions, and its effectiveness is measured by improvements in respiratory symptoms.
B. Increased blood pressure. This finding is not an indicator of theophylline effectiveness. Theophylline is used to treat respiratory conditions, and its effectiveness is measured by improvements in respiratory symptoms.
C. Increased level of consciousness. This finding is not an indicator of theophylline effectiveness. Theophylline is used to treat respiratory conditions, and its effectiveness is measured by improvements in respiratory symptoms.
D. Decreased wheezing. This finding is an indicator of theophylline effectiveness. Theophylline is a bronchodilator used to treat asthma and other respiratory conditions. A decrease in wheezing indicates that the medication is effectively improving the client’s airway function.

A. Aspirin B. Sodium bicarbonate C. Diazepam D. Naloxone

Correct Answer is C

Explanation

A. Aspirin is not typically used in the treatment of acute cocaine toxicity. Aspirin is an antiplatelet agent used primarily for its effects on blood clotting and is not indicated for managing the symptoms of cocaine toxicity, which include severe agitation, seizures, and cardiovascular complications.
B. Sodium bicarbonate is used in the treatment of certain types of metabolic acidosis and specific drug overdoses, such as tricyclic antidepressants. However, it is not the first-line treatment for acute cocaine toxicity. The primary concerns in cocaine toxicity are neurological and cardiovascular symptoms, which are better managed with other medications.
C. Diazepam is a benzodiazepine that is commonly used to manage the symptoms of acute cocaine toxicity. It helps to control agitation, seizures, and muscle spasms, which are common manifestations of cocaine overdose. Diazepam’s sedative and anticonvulsant properties make it an effective choice in this scenario.
D. Naloxone is an opioid antagonist used to reverse the effects of opioid overdose. Since cocaine is a stimulant and not an opioid, naloxone would not be effective in treating cocaine toxicity. The symptoms and treatment protocols for opioid overdose differ significantly from those for stimulant toxicity.

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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

A nurse is assessing a client who has started taking theophylline. Which of the following client findings should indicate to the nurse that the medication is effective?

Correct Answer is D

Explanation

A nurse is caring for a client who is experiencing manifestations of acute cocaine toxicity. Which of the following medication prescriptions should the nurse anticipate administering?

Correct Answer is C

Explanation

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