The nurse is preparing to administer a first dose of benztropine (Cogentin) to a patient diagnosed with parkinsonism. The nurse would notify the patient’s provider if the patient had a history of which condition?
Irritable bowel disease
Glaucoma
Asthma
Hypertension
The Correct Answer is B
A) Irritable bowel disease: Benztropine is an anticholinergic medication that can reduce gastrointestinal motility, which might exacerbate constipation. However, irritable bowel disease (IBD) is not a contraindication for using benztropine. The drug is more likely to cause concern in conditions where smooth muscle relaxation could worsen symptoms of constipation, but it is not typically withheld due to IBD alone.
B) Glaucoma: Glaucoma, particularly narrow-angle glaucoma, is a contraindication for benztropine use. Benztropine, as an anticholinergic agent, can cause pupil dilation (mydriasis), which can increase intraocular pressure and worsen glaucoma. This is a critical concern for patients with glaucoma, and the healthcare provider should be notified before administering the drug.
C) Asthma: While benztropine can have mild anticholinergic effects that may cause dryness of the respiratory tract, it is not a contraindication for asthma. Beta-agonist inhalers are more commonly prescribed to manage bronchospasm, but the use of benztropine in asthma is not typically harmful unless the patient is experiencing severe respiratory distress. Asthma would not be a primary concern when administering this medication.
D) Hypertension: Benztropine does not directly affect blood pressure in a way that would be a concern for someone with hypertension. While it may cause some mild autonomic changes (like dry mouth or dizziness), hypertension is not a contraindication for the medication. Therefore, there is no specific need to notify the healthcare provider due to a history of hypertension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Feed cells under stress:
The primary function of the homeostasis control systems is not to directly "feed" cells under stress, but to regulate internal balance and ensure all systems are functioning optimally, particularly in response to changes in the environment or internal states. "Feeding" or providing nutrients is a broader metabolic process rather than a direct function of the homeostasis control systems.
B) Act on invading organisms:
While the immune system, which plays a role in defending the body against invading organisms, is a part of overall body regulation, homeostasis itself is more concerned with maintaining internal stability. The control systems of the body regulate physiological processes such as temperature, pH, and fluid balance rather than directly targeting external organisms like bacteria or viruses, which would fall under the immune response.
C) Control vital functions:
Homeostasis control systems are integral in maintaining the body's internal environment, ensuring stability for vital functions such as temperature, heart rate, blood pressure, and respiratory rate. These systems help adjust these functions in response to various internal and external stimuli to maintain optimal conditions for survival, making this the most accurate answer.
D) Shut down the body at death:
While the control systems ultimately cease to function at death, the purpose of homeostasis during life is to maintain the balance of bodily functions, not to cause the cessation of life. The homeostatic mechanisms are about maintaining life and health, preventing "shutdown" until the point of death.
Correct Answer is D
Explanation
A) Interferon-B (IFN-B): Interferon-beta is a disease-modifying therapy (DMT) used for multiple sclerosis (MS) to reduce the frequency and severity of attacks and slow disease progression. However, it is not typically used during an acute exacerbation of MS. It is more commonly prescribed for long-term management of the disease.
B) Mitoxantrone: Mitoxantrone is an immunosuppressive agent that is used as a disease-modifying therapy for patients with more aggressive forms of MS. While it can be helpful in reducing the frequency of attacks, it is not the first-line treatment during an acute relapse. Mitoxantrone is often considered for long-term use when other therapies are not effective.
C) Glatiramer acetate (Copaxone): Glatiramer acetate is another disease-modifying therapy for MS. It works by altering the immune response to protect the myelin sheath. Like interferon-beta, it is used for long-term management, not for acute attacks. It is not typically used during an exacerbation of MS.
D) Methylprednisolone (Solu-Medrol): Methylprednisolone, a corticosteroid, is the standard treatment for acute exacerbations of multiple sclerosis. It works by reducing inflammation, which helps to decrease the severity of symptoms during an MS relapse. The nurse would anticipate this drug being prescribed to manage the acute inflammatory episode and speed recovery from the attack. This medication is often administered intravenously in high doses and then tapered as the patient stabilizes.
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