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 A

Explanation

A. Monitor the client’s oxygen saturation is crucial when administering diazepam for sedation. Diazepam can cause respiratory depression, so monitoring oxygen saturation helps ensure the client is receiving adequate oxygen.
B. Monitor the client for seizure activity is not necessary in this context. Diazepam is actually used to treat seizures, so it is unlikely to cause them as an adverse reaction.
C. Check the client’s urinary output is important for overall health but is not specifically related to monitoring for adverse reactions to diazepam.
D. Auscultate the client’s bowel sounds is not relevant for assessing adverse reactions to diazepam. Bowel sounds are more related to gastrointestinal function.

A. Inject air into the vial to withdraw the short-acting insulin. B. Ensure the NPH insulin is drawn into the syringe first. C. Use two separate syringes to mix the insulin. D. Administer the insulin within 20 minutes of preparing it.

Correct Answer is A

Explanation

A. Inject air into the vial to withdraw the short-acting insulin is the correct procedure. The nurse should first inject air into the NPH vial without drawing up any insulin, then inject air into the short-acting insulin vial and withdraw the required dose. This prevents contamination of the short-acting insulin with NPH insulin.
B. Ensure the NPH insulin is drawn into the syringe first is incorrect. The short-acting insulin should be drawn into the syringe first to avoid contaminating it with NPH insulin.
C. Use two separate syringes to mix the insulin is not necessary. Insulin can be mixed in one syringe as long as the correct procedure is followed.
D. Administer the insulin within 20 minutes of preparing it is not specific to the mixing procedure. Insulin should generally be administered promptly after preparation, but the exact timing can vary.

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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 caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?

Correct Answer is A

Explanation

A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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