The nurse is preparing to administer medications to a group of patients. One of the medications is atropine, an anticholinergic drug. This drug is contraindicated in which patient?
1. The patient with glaucoma
2. The patient with hyperthyroidism
3. The patient with a hiatal hernia
4. The patient with lung cancer
1
Rationale 1: Anticholinergic drugs can increase pressure in the eye; they must be avoided in patients with glaucoma.
Rationale 2: Anticholinergic drugs are not contraindicated in patients with hyperthyroidism.
Rationale 3: Anticholinergic drugs are not contraindicated in patients with a hiatal hernia.
Rationale 4: Anticholinergic drugs are not contraindicated in patients with lung cancer.
Global Rationale: Anticholinergic drugs can increase pressure in the eye; they must be avoided in patients with glaucoma. Anticholinergic drugs are not contraindicated in patients with a hiatal hernia. Anticholinergic drugs are not contraindicated in patients with hyperthyroidism. Anticholinergic drugs are not contraindicated in patients with lung cancer.
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