Atropine-like drugs are contraindicated in clients with:
parkinsonism,
glaucoma
peptic ulcer.
Cirrhosis
The Correct Answer is B
A. parkinsonism: Atropine-like drugs may worsen certain symptoms such as confusion, but they are not absolutely contraindicated in parkinsonism. Some anticholinergic agents are even used to reduce tremors, so this condition does not represent the primary concern.
B. glaucoma: These drugs increase intraocular pressure by causing pupil dilation, which can obstruct aqueous humor outflow. In clients with glaucoma—especially narrow-angle—this can trigger dangerous pressure elevations and worsen vision rapidly.
C. peptic ulcer: Anticholinergics may slow gastric motility, but they do not directly worsen ulcer pathology. Although used cautiously, they are not considered strictly contraindicated in peptic ulcer disease.
D. cirrhosis: Liver disease requires careful medication management, yet atropine-like drugs do not pose a specific prohibitive risk. They may need dose adjustment, but cirrhosis is not a direct contraindication to their use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Disulfiram therapy: Disulfiram is used to deter alcohol consumption by causing unpleasant reactions when alcohol is consumed, but it does not prevent withdrawal symptoms. It is started only after detoxification, not as long-term withdrawal prevention.
B. Thiamine supplementation: Chronic alcohol use leads to thiamine deficiency, increasing the risk of Wernicke–Korsakoff syndrome. Long-term thiamine supplementation helps prevent neurologic complications that occur during and after withdrawal, making it a key preventive therapy.
C. Folic acid only: Folic acid may correct nutritional deficiencies but does not prevent alcohol-related neurologic issues or withdrawal complications. It is supportive therapy rather than a primary intervention for chronic alcohol use.
D. Benzodiazepines as needed: Benzodiazepines are used short-term during acute withdrawal to prevent seizures and delirium tremens, not as a long-term preventive treatment. Long-term use risks dependence and does not address nutritional deficits.
Correct Answer is B
Explanation
A. To treat hyperlipidemia: Brilinta does not lower cholesterol or alter lipid pathways. Hyperlipidemia requires medications that directly modify lipid metabolism, such as statins. Using Brilinta for this purpose would leave the lipid disorder untreated.
B. To prevent thrombotic events in patients with acute coronary syndrome: Brilinta inhibits the P2Y12 receptor on platelets, reducing aggregation and decreasing the likelihood of clot formation. This protects against stent thrombosis and recurrent myocardial infarction in ACS patients. It is routinely paired with aspirin as part of dual antiplatelet therapy.
C. To manage hypertension: Brilinta has no effect on vascular resistance, cardiac output, or renal sodium handling, which are the main targets of antihypertensive therapy. Blood pressure control relies on medications such as ACE inhibitors, beta blockers, or diuretics.
D. As a first-line treatment for heart failure: Brilinta does not improve myocardial function or counteract the neurohormonal changes that worsen heart failure. Effective treatment requires medications like ACE inhibitors, beta blockers, or ARNI therapy.
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