In which of the following conditions should decongestants be used with caution?
Diabetes
Hypertension
Allergic rhinitis
Hyperthyroidism
Heart disease
The Correct Answer is B
Choice A rationale
While diabetes is a serious condition, it is not specifically contraindicated with the use of decongestants. However, as with any medication, it should be used with caution in individuals with diabetes, and any changes in blood glucose levels should be monitored.
Choice B rationale
Decongestants should be used with caution in individuals with hypertension. Decongestants work by constricting blood vessels to reduce swelling and congestion. This constriction can also affect blood vessels throughout the body, potentially raising blood pressure.
Choice C rationale
Allergic rhinitis is actually one of the conditions that decongestants are commonly used to treat. They work by reducing the swelling in the nasal passages, relieving the symptoms of congestion.
Choice D rationale
Hyperthyroidism is a condition that can be exacerbated by the use of decongestants. The increased metabolic rate associated with hyperthyroidism can intensify the stimulant effects of decongestants, potentially leading to increased heart rate and blood pressure.
Choice E rationale
Heart disease is another condition where caution is needed when using decongestants. The vasoconstrictive action of decongestants can increase the workload of the heart, potentially exacerbating symptoms in individuals with heart disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Antidepressants are a class of medications used to treat depression and other mood disorders, not primarily for their sedative and anti-seizure effects.
Choice B rationale
Anxiolytics are medications that inhibit anxiety. They are used to treat anxiety disorders and relieve short-term anxiety symptoms. While some anxiolytics do have sedative effects, they are not derived from barbituric acid.
Choice C rationale
Barbiturates are a class of drugs derived from barbituric acid that act as depressants to the central nervous system. These drugs are used as sedatives or anesthetics and have the potential to become addictive.
Choice D rationale
Benzodiazepines are a class of psychoactive drugs used to treat a range of conditions, including anxiety and insomnia. They are known for their sedative and anxiolytic effects. However, they are not derived from barbituric acid.
Correct Answer is C
Explanation
Choice A rationale
Administering ordered insulin subcutaneously is the correct method of administration. Insulin is not typically given by other routes.
Choice B rationale
Using an insulin syringe to administer the insulin dose is the correct practice. Insulin syringes are calibrated in insulin units, which helps ensure accurate dosing.
Choice C rationale
Drawing up the ordered dose in a 3 mL syringe is a violation of safe practice. Insulin should always be drawn up in an insulin-specific syringe, which is marked in insulin units, not milliliters.
Choice D rationale
Verifying the drawn-up insulin dose with another nurse is a recommended safety practice in many settings. This double-check can help prevent errors in insulin dosing.
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